Organization
HEALTHY RISE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GANNON KAUFMANN RD (PRESIDENT)
(319) 423-7090
Entity
Organization
Contact information
Practice address
227 GREENFIELD ST NE, CEDAR RAPIDS, IA 52402-1626
(319) 431-8764
Mailing address
227 GREENFIELD ST NE, CEDAR RAPIDS, IA 52402-1626
(319) 431-8764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
11/01/2021
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