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Individual

AVERY SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
700 FOULK RD, WILMINGTON, DE 19803-3708
(317) 418-7307
Mailing address
510 IVYDALE RD, WILMINGTON, DE 19803-4330
(317) 418-7307

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI61036831
WA
133V00000X
Registered Dietitian
Primary
DN-0010875
DE
133V00000X
Registered Dietitian
DN007488
PA

Other

Enumeration date
02/10/2020
Last updated
01/22/2023
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