Individual
CERA DAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 6TH AVE FL 4, DES MOINES, IA 50314-2610
(515) 643-3418
Mailing address
1111 6TH AVE FL 4, DES MOINES, IA 50314-2610
(515) 643-3418
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
302917
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406305H
—
IA
Enumeration date
11/05/2020
Last updated
11/05/2020
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