Individual
ELIZABETH ANN MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01662
IA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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