MRS. Shirley W Anderson, RDLD

NPI #1053687426 in Fenton, Missouri

Provider Information

NPI Number: 1053687426
Entity Type: Individual
Name: MRS. Shirley W Anderson, RDLD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RDLD
Enumeration Date: Mar 29, 2012
Last Updated: Mar 29, 2012

Practice Location

Address: 1015 BOWLES AVE
City: Fenton
State: Missouri
ZIP Code: 63026-2394
Phone: (636) 496-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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