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Individual

SHANTEL R DUFRESNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
5140 LIBERTY AVE FL 2, PITTSBURGH, PA 15224-2215
(724) 941-7490
(412) 315-3530
Mailing address
5140 LIBERTY AVE FL 2, PITTSBURGH, PA 15224-2215
(724) 941-7490
(412) 315-3530

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005448
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103444792
PA
Enumeration date
01/23/2018
Last updated
02/20/2018
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