Individual
MS. SHELLY ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
500 GYPSY LANE, NORTHSIDE MEDICAL CENTER, YOUNGSTOWN, OH 44501-1315
(330) 884-3427
(330) 884-3433
Mailing address
334 IMPERIAL ST, YOUNGSTOWN, OH 44509-1160
(330) 792-0139
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4291
OH
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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