KENYATTA SHELTON

CHICAGO, IL
NPI1376231696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy247200000X 
(Licence: IL  131014391)
Additional Taxonomies136A00000X Dietetic Technician, Registered
(Licence: IL  131014391)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
KENYATTA SHELTON
5135 W WASHINGTON BLVD
CHICAGO, IL 60644-3441
Phone number: 773-642-7314
Mailing Address
KENYATTA SHELTON
5135 W WASHINGTON BLVD
CHICAGO, IL 60644-3441
Phone number: 773-642-7314