Dr. Shavawn Marie Forester, PhD RDN
Dietitian, Registered in Truckee, CA. Individual provider (NPI-1).
NPI number1952769986
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1952769986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shavawn Marie Forester
- Credential
- PhD RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2016
- Last updated
- Feb 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | – | – | |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | – | – |
Practice location
10122 Vista AveTruckee, CA 96161-4813
Phone 916-715-9835
Mailing address
10122 Vista AveTruckee, CA 96161-4813
Phone 916-715-9835
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