Individual
ELIZABETH WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(800) 294-8387
(515) 699-5860
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(800) 294-8387
(515) 699-5860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001923
IA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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