Individual
DAWN RENEE GUSTOFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
411 LAUREL ST STE 3320, DES MOINES, IA 50314-3017
(515) 643-5203
(515) 643-5204
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5203
(515) 643-5204
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1021
IA
133V00000X
Registered Dietitian
Primary
1021
IA
Other
Enumeration date
09/13/2006
Last updated
11/15/2017
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