Individual
JOETTA M REDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00775
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00775
LICENSE NUMBER
IA
Enumeration date
10/12/2007
Last updated
10/12/2007
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