Individual
CHANEL SHANA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
12719 SW 27TH ST, MIRAMAR, FL 33027-3822
(943) 743-6560
Mailing address
12719 SW 27TH ST, MIRAMAR, FL 33027-3822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10865
FL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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