Individual
SUGIANAWATY MULIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 422-7000
(641) 422-6433
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 422-7000
(641) 422-6433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001873
IA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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