Andre Shook
NPI #1457168304 in Washington, Utah
Provider Information
- NPI Number
- 1457168304
- Entity Type
- Individual
- Name
- Andre Shook
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Dec 13, 2024
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 1610 S AZURE RIDGE CIR
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-2296
- Phone
- (714) 709-1014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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