Individual
BECKY ANN PROSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDLD
Contact information
Practice address
800 11TH ST, CHARLES CITY, IA 50616-3468
(641) 257-4381
Mailing address
17394 PACKARD AVE, CLARKSVILLE, IA 50619-9112
(319) 278-4781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01748
IA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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