Individual
SHAYNA J BAGSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
191 MAIN ST APT 1, CHARLESTOWN, MA 02129-3201
(520) 870-7880
Mailing address
191 MAIN ST APT 1, CHARLESTOWN, MA 02129-3201
(520) 870-7880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86063915
CA
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86063915
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
02/26/2019
Last updated
05/15/2025
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