| NPI | 1689211146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A ZINKULA CFO 319-824-5082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174H00000X Health Educator | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |