Shana Vaughan Bare, RD LDN CDE
NPI #1235231218 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1235231218
- Entity Type
- Individual
- Name
- Shana Vaughan Bare, RD LDN CDE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD LDN CDE
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12720 GARFFE SHERRON RD
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-8906
- Phone
- (919) 556-3189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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