Individual
JULIE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6350
Mailing address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6350
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
105496
IA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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