Individual
MISS MARY MALVINA MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD MA
Contact information
Practice address
307 MESKWAKI RD, TAMA, IA 52339-9634
(641) 484-4094
Mailing address
307 MESKWAKI RD, TAMA, IA 52339-9634
(641) 484-4094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01415
IA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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