Individual
SHAWNEL STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 543-6089
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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