Individual
STEPHANIE DAWN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
701 E 2ND ST, IDA GROVE, IA 51445-1699
(712) 364-7298
Mailing address
5357 HIGHWAY 175, BATTLE CREEK, IA 51006-8603
(712) 369-1742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01453
IA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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