Individual
SHANNON MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 PROSPERITY CT, TOMS RIVER, NJ 08755-1294
(908) 910-9617
Mailing address
106 PROSPERITY CT, TOMS RIVER, NJ 08755-1294
(908) 910-9617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86375418
NJ
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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