Individual
CAROL JEAN REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-7212
Mailing address
23 LOCUST LODGE AVE, COUNCIL BLUFFS, IA 51503-1663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
00451
IA
133V00000X
Registered Dietitian
Primary
499883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00451
IOWA DIETETIC LICENSE
IA
01
—
R499883
AMERICAN DIETETIC ASSOC
IA
Enumeration date
03/14/2007
Last updated
07/08/2007
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