Individual
MRS. SHALANE MARIE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
581
LA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/26/2012
Last updated
07/30/2012
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