Individual
MISS TESSA SHULTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
3301 GORDON DR, SIOUX CITY, IA 51105-3708
(515) 480-4316
Mailing address
3301 GORDON DR., SIOUX CITY, IA 51105
(515) 480-4316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1191
NE
Other
Enumeration date
02/25/2016
Last updated
01/30/2017
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