Individual
SHELLEY LYNNE WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
823 2ND ST, WEBSTER CITY, IA 50595-1345
(515) 832-3117
Mailing address
823 2ND ST, WEBSTER CITY, IA 50595-1345
(515) 832-3117
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269
LICENSE
IA
01
—
813425
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/14/2007
Last updated
10/08/2013
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