Individual
JODI C BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CLT
Contact information
Practice address
4825 EP TRUE PKWY, SUITE 101, WEST DES MOINES, IA 50265-6403
(515) 226-3468
Mailing address
4825 EP TRUE PKWY, SUITE 101, WEST DES MOINES, IA 50265-6403
(515) 226-3468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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