Individual
ANGELA L HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2692
(319) 353-6837
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2692
(319) 353-6837
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001840
IA
Other
Enumeration date
10/28/2008
Last updated
11/10/2008
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