DEANNA SHADE

AUGUSTA, GA
NPI1760874648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD004307)
Enumeration Date2015-03-02
Last Update Date2015-03-02
Business Address
DEANNA SHADE RD
1120 15TH ST BA 1565
AUGUSTA, GA 30912-0004
Phone number: 706-721-5767
Mailing Address
DEANNA SHADE RD
1120 15TH ST BA 1565
AUGUSTA, GA 30912-0004
Phone number: 706-721-5767
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