Individual
AMANDA J THUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-4200
Mailing address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002081
IA
Other
Enumeration date
05/02/2013
Last updated
11/22/2017
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