Heather Shaw

NPI #1962445817 in Twin Falls, Idaho

Provider Information

NPI Number
1962445817
Entity Type
Individual
Name
Heather Shaw
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dietitian, Registered
Enumeration Date
Jun 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
650 ADDISON AVE W
State
Idaho
ZIP Code
83301-5444
Phone
(208) 732-3429

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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