Most Relevant Information
Provider Data
| NPI Number: | 1003453481 |
| Provider Name: | SHANNA MICHAEL MILLER-NABAS RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86017372 |
Most Important Dates
| Enumeration Date: | 12/05/2019 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
3020 CHILDRENS WAY
SAN DIEGO
CA
921234223
Practice Location Phone/Fax
| Phone: | 8585761700 |
| Fax: |
Provider Mailing Location
3020 CHILDRENS WAY
SAN DIEGO
CA
921234223
Provider Mailing Phone/Fax
| Phone: | 8585761700 |
| Fax: |