| NPI | 1366516627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY NUNN Office Manager 515-643-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IA 01563) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |