Cicely Shankle

NPI #1396302519 in Fairbanks, Alaska

Provider Information

NPI Number
1396302519
Entity Type
Individual
Name
Cicely Shankle
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nutritionist
Enumeration Date
May 22, 2019
Last Updated
Jul 26, 2021

Practice Location

Address
600 UNIVERSITY AVE STE 2A
State
Alaska
ZIP Code
99709-3651
Phone
(907) 206-3000

Specialties & Taxonomy Codes

Specialty
Nutritionist

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