Shirley Anne Kadoura, REGISTERED DIETITIAN

NPI #1063736015 in South Lyon, Michigan

Provider Information

NPI Number: 1063736015
Entity Type: Individual
Name: Shirley Anne Kadoura, REGISTERED DIETITIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: REGISTERED DIETITIAN
Enumeration Date: Mar 19, 2010
Last Updated: Mar 19, 2010

Practice Location

Address: 61027 GREENWOOD DR
City: South Lyon
State: Michigan
ZIP Code: 48178-1721
Phone: (248) 486-8443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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