Individual
KERIANN SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-8901
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
199493
AK
Other
Enumeration date
09/08/2022
Last updated
09/21/2022
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