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Shannon C Henning, MS, RD, LD

Dietitian, Registered in Corpus Christi, TX. Individual provider (NPI-1).

NPI number1245309764
StatusActive
Last updated in NPPESNov 3, 2009

Details

NPI
1245309764
Entity type
Individual (NPI-1)
Name
Shannon C Henning
Credential
MS, RD, LD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 7, 2006
Last updated
Nov 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered940832TXYes

Practice location

8210 Radial Ct
Corpus Christi, TX 78414-6455

Phone 361-218-0851

Mailing address

8210 Radial Ct
Corpus Christi, TX 78414-6455

Phone 361-218-0851

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