Individual
SHANNON RODMAN-COSTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
175 CROSSING BLVD, FRAMINGHAM, MA 01702-4475
(774) 405-4016
Mailing address
175 CROSSING BLVD, FRAMINGHAM, MA 01702-4475
(774) 405-4016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003923
GA
Other
Enumeration date
07/26/2016
Last updated
07/21/2022
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