Individual
JAMIE VANESSA SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
31 NEW BOSTON CT, DANVILLE, CA 94526-4344
(925) 890-2225
Mailing address
31 NEW BOSTON CT, DANVILLE, CA 94526-4344
(925) 890-2225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
894935
CA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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