Individual
SHAWNA KUNSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 KNICKERBOCKER RD, SAN ANGELO, TX 76903-8780
(325) 212-6891
Mailing address
1826 WYOMING AVE, SAN ANGELO, TX 76904-7159
(325) 212-6891
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS17343
TX
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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