Individual
MRS. MICHELLE LYNN HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, LMNT, LN
Contact information
Practice address
2720 STONE PARK BLVD, NFS DEPT., SIOUX CITY, IA 51104-3734
(712) 279-1813
(712) 279-1854
Mailing address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-1813
(712) 279-1854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01202
IA
Other
Enumeration date
11/08/2012
Last updated
11/26/2012
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