Individual
MRS. STEPHANIE RAE BEENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
945 TOWER PARK DR, WATERLOO, IA 50701-9098
(319) 235-1230
Mailing address
203 ARDIS ST, HUDSON, IA 50643-2016
(319) 215-7620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001792
IA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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