Individual
CHARLOTTE FAYE KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 7TH ST NW, SIOUX CENTER, IA 51250-1904
(712) 470-1867
Mailing address
356 7TH ST NW, SIOUX CENTER, IA 51250-1904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
07/09/2007
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