Individual
CARLY MAE SIEBELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6605
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002170
IA
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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