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Shana M Hussin, RD,CD

Dietitian, Registered in Appleton, WI. Individual provider (NPI-1).

NPI number1851576813
StatusActive
Last updated in NPPESJan 8, 2008

Details

NPI
1851576813
Entity type
Individual (NPI-1)
Name
Shana M Hussin
Credential
RD,CD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2008
Last updated
Jan 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered894337WIYes

Practice location

1818 N Meade St
Appleton, WI 54911-3454

Phone 920-731-4101

Mailing address

N8165 Big Lake Ln
Sherwood, WI 54169-9666

Phone 920-850-3374

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