Individual
FNU ANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 PIERCE ST, SIOUX CITY, IA 51104
(712) 294-5018
Mailing address
2501 PIERCE ST, SIOUX CITY, IA 51104
(712) 294-5018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-13379
IA
Other
Enumeration date
05/06/2025
Last updated
09/23/2025
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