Forester, Shavawn Marie

Forester, Shavawn Marie is an sole proprietor health care provider with primary practice located at 10122 Vista Ave , Truckee CA 96161-4813. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Forester, Shavawn Marie can be contacted via phone (916) 715-9835.

Contact Information

Primary practice address
10122 Vista Ave Truckee CA 96161-4813
Phone: (916) 715-9835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1952769986
LBN Legal business name Forester, Shavawn Marie
Credentials PHD RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2016
Last updated Feb 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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