Individual
CALLIE ALTHEA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 443-7451
(575) 443-7458
Mailing address
301 N ROADRUNNER PKWY APT 801, LAS CRUCES, NM 88011-9054
(724) 464-7721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-1327
NM
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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