Individual
MS. SHANNON LEE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 781-2727
(417) 659-6545
Mailing address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 781-2727
(417) 659-6545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001010243
MO
Other
Enumeration date
06/04/2007
Last updated
07/09/2007
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