SHANNON D MOATS

SPRINGFIELD, IL
NPI1760168355
Former NameSHANNON GRAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.008428)
Enumeration Date2023-06-27
Last Update Date2025-11-10
Business Address
SHANNON D MOATS RDN, LDN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
SHANNON D MOATS RDN, LDN
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541