MRS. Charissa Sue Shadduck, MS RD

NPI #1629264973 in Mason, Michigan

Provider Information

NPI Number: 1629264973
Entity Type: Individual
Name: MRS. Charissa Sue Shadduck, MS RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS RD
Enumeration Date: Sep 20, 2007
Last Updated: Dec 4, 2014

Practice Location

Address: 3181 SANDHILL RD
City: Mason
State: Michigan
ZIP Code: 48854
Phone: (517) 336-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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