Individual
SANDRA LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4336
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000194
IA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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