SHANNON MOIRA SULLIVAN

AUSTIN, TX
NPI1699450858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT86901)
Enumeration Date2023-06-15
Last Update Date2023-06-15
Business Address
SHANNON MOIRA SULLIVAN RD
8700 MENCHACA RD STE 806
AUSTIN, TX 78748-5379
Phone number: 254-290-2183
Mailing Address
SHANNON MOIRA SULLIVAN RD
400 W SAINT ELMO RD APT 1007
AUSTIN, TX 78745-3316
Phone number: 254-290-2183
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