Individual
MRS. SARA ELIZABETH SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
4813 VISTA PARK CT APT 6, NASHOTAH, WI 53058-9655
(804) 201-0446
Mailing address
4813 VISTA PARK CT APT 6, NASHOTAH, WI 53058-9655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996451
WI
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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