Individual
MRS. SHANNON MELISSA LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1007 MAYFLOWER DR, QUAKERTOWN, PA 18951-2623
(267) 221-8377
Mailing address
1007 MAYFLOWER DR, QUAKERTOWN, PA 18951-2623
(267) 221-8377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004034
PA
Other
Enumeration date
11/27/2013
Last updated
02/13/2023
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