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Individual

MS. SHONDA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
819 COOK AVE NW STE 106, HUNTSVILLE, AL 35801-5983
(256) 426-8444
Mailing address
2533 GREENHILL DR NW, HUNTSVILLE, AL 35810-4428
(256) 268-4444

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
AL
133NN1002X
Nutrition Education Nutritionist
Primary
AL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
172V00000X
Community Health Worker
372600000X
Adult Companion
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/13/2019
Last updated
11/13/2019
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