Individual
MASHA SHIRKEN
Active
Individual
MASHA SHIRKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NJ
136A00000X
Registered Dietetic Technician
Primary
86045947
NJ
174H00000X
Health Educator
21667
NY
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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