Individual
DR. SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
1516 E ROVEY AVE APT 6, PHOENIX, AZ 85014-2441
(214) 606-9056
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
921653
IL
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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