Individual
MRS. AMANDA KAY HAGENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7101 UNIVERSITY AVE, WINDSOR HEIGHTS, IA 50324-1436
(515) 279-4225
Mailing address
7101 UNIVERSITY AVE, WINDSOR HEIGHTS, IA 50324-1436
(515) 279-4225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01557
IA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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