Individual
REBECCA MARIE MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2701 PRAIRIE MEADOW DR, IOWA CITY, IA 52242-8001
(319) 384-7070
Mailing address
142 ELM RIDGE DR, NORTH LIBERTY, IA 52317-9412
(563) 508-3857
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
098024
IA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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