NPI 1013533678

Shannon James Hollister, CERTIFIEDNUTRITIONI

Practitioner Nutritionist Kingsley, PA

Practice location

Address: 13936 Sr 106, Kingsley, PA 18826
Phone: (570) 468-1528

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1013533678
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2020
Record last updated: 19 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.