Individual
MRS. SHELLEY LANELLE BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CSP, LD
Contact information
Practice address
120 THOMAS CT, TUSCOLA, TX 79562-1181
(214) 763-8415
Mailing address
120 THOMAS CT, TUSCOLA, TX 79562-1181
(214) 763-8415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81052
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT81052
TX
Other
Enumeration date
08/07/2015
Last updated
10/24/2025
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