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Individual
SUMMER IWERKS
Active
Individual
SUMMER IWERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86111422
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86111422
REGISTERED DIETITIAN NUTRITIONIST
—
Enumeration date
02/24/2021
Last updated
02/24/2021
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