Individual
EMILY TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 E 4TH ST STE A, DAVENPORT, IA 52801-1713
(309) 721-5441
Mailing address
630 E 4TH ST STE A, DAVENPORT, IA 52801-1713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
110591
IA
Other
Enumeration date
02/12/2022
Last updated
05/12/2022
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