Individual
MS. SHELBY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 310-7765
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 310-7765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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