Shannon Michelle Sundberg, MS, RD, CD
NPI #1154670503 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1154670503
- Entity Type
- Individual
- Name
- Shannon Michelle Sundberg, MS, RD, CD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered - Nutrition, Pediatric
- Credential
- MS, RD, CD
- Enumeration Date
- Aug 30, 2012
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 100 MARIO CAPECCHI DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 277-1207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric |
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