Mrs Shellie Lynn Shaw, RD, LD, CLT | |
620 E Monroe St, Mexico, MO 65265-2919 | |
(573) 852-8350 | |
Not Available |
Full Name | Mrs Shellie Lynn Shaw |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 620 E Monroe St, Mexico, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639311590 | NPI | - | NPPES |
2001007656 | Other | MO | MO STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2001007656 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Shellie Lynn Shaw, RD, LD, CLT 2424 Park Crst, Mexico, MO 65265-1660 Ph: (573) 777-0393 | Mrs Shellie Lynn Shaw, RD, LD, CLT 620 E Monroe St, Mexico, MO 65265-2919 Ph: (573) 852-8350 |
Krystle Leigh Blunk, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-8351 Fax: 573-582-3335 | |
Michelle Hoeing, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-8351 Fax: 573-582-3335 |