MRS. Molly Shattuck, RD

NPI #1912284977 in Moline, Illinois

Provider Information

NPI Number: 1912284977
Entity Type: Individual
Name: MRS. Molly Shattuck, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered - Nutrition, Renal
Credential: RD
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 400 JOHN DEERE RD
City: Moline
State: Illinois
ZIP Code: 61265-6898
Phone: (309) 762-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Dietitian, Registered - Nutrition, Renal — Nutrition, Renal	133VN1005X	Primary

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