Shana Louise Roth, RD

NPI #1548805005 in Hancock, Michigan

Provider Information

NPI Number: 1548805005
Entity Type: Individual
Name: Shana Louise Roth, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Nov 8, 2019
Last Updated: Oct 2, 2021

Practice Location

Address: 500 CAMPUS DR
City: Hancock
State: Michigan
ZIP Code: 49930-1452
Phone: (906) 483-1148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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