MR. Shannon James Hollister, CERTIFIED NUTRITIONI
NPI #1013533678 in Kingsley, Pennsylvania
Provider Information
- NPI Number
- 1013533678
- Entity Type
- Individual
- Name
- MR. Shannon James Hollister, CERTIFIED NUTRITIONI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nutritionist
- Credential
- CERTIFIED NUTRITIONI
- Enumeration Date
- Jun 19, 2020
- Last Updated
- Jun 19, 2020
Practice Location
- Address
- 13936 SR 106
- City
- Kingsley
- State
- Pennsylvania
- ZIP Code
- 18826
- Phone
- (570) 468-1528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
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