Individual
DEBBIE ANN DETTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4755 PARKRIDGE AVE, PLEASANT HILL, IA 50327-7228
(515) 265-5348
Mailing address
3830 43RD ST, DES MOINES, IA 50310-3629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P21144
IA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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