Individual
MS. CARRIE JO LEIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., M.S.
Contact information
Practice address
1200 PLEASANT ST, YOUNKER 106, DES MOINES, IA 50309-1406
(515) 241-8686
(515) 241-6047
Mailing address
1350 NW 141ST ST, CLIVE, IA 50325-8373
(515) 225-9092
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00187
IA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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