Individual
MS. BERNADINE L SHAW-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
15126 KERCHEVAL AVE, GROSSE POINTE, MI 48230-1360
(313) 822-0100
Mailing address
327 DREXEL ST, DETROIT, MI 48215-3003
(313) 331-4036
(313) 331-4036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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