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Shannon Renee Banning, RD

Dietitian, Registered in Murrieta, CA. Individual provider (NPI-1).

NPI number1679358014
StatusActive
Last updated in NPPESAug 24, 2023

Details

NPI
1679358014
Entity type
Individual (NPI-1)
Name
Miss Shannon Renee Banning
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2023
Certification date
Aug 24, 2023
Last updated
Aug 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1030691CAYes

Practice location

28062 Baxter Rd
Murrieta, CA 92563-1401

Phone 951-290-4000

Mailing address

28062 Baxter Rd
Murrieta, CA 92563-1401

Phone 951-290-4000

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