JACQUELINE ELIZABETH SHANKS

MEMPHIS, TN
NPI1134138977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  1701)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
Miss JACQUELINE ELIZABETH SHANKS RD
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
Mailing Address
Miss JACQUELINE ELIZABETH SHANKS RD
2552 NIBLIK PASS APT 202
CORDOVA, TN 38016-4116
Phone number: 901-523-8990
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