Individual
KELLI HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 35TH ST SW, ALTOONA, IA 50009-9630
(507) 995-9063
Mailing address
126 35TH ST SW, ALTOONA, IA 50009-9630
(507) 995-9063
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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