Individual
JESELL SOUHRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, NDTR
Contact information
Practice address
5 HUTTER LN, BETTENDORF, IA 52722-2105
(815) 275-0938
Mailing address
5 HUTTER LN, BETTENDORF, IA 52722-2105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
138717
IA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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