Organization
LIFE WITH SUBSTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NANKE (DIETITIAN)
(563) 341-7787
Entity
Organization
Contact information
Practice address
13318 W CLAY DR, DUBUQUE, IA 52002-9665
(563) 341-7787
Mailing address
PO BOX 86, PEOSTA, IA 52068-0086
(563) 341-7787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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