SHANNON M WIEDERHOLT

JOHNSON CITY, TN
NPI1972647287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  1075)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Mrs. SHANNON M WIEDERHOLT RD,LDN,CDE
408 N STATE OF FRANKLIN RD SUITE#31
JOHNSON CITY, TN 37604-6089
Phone number: 423-461-8880
Mailing Address
Mrs. SHANNON M WIEDERHOLT RD,LDN,CDE
408 N STATE OF FRANKLIN RD SUITE#31
JOHNSON CITY, TN 37604-6089
Phone number: 423-461-8880
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