Individual
CRYSTAL LYNN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
201 E J AVE, GRUNDY CENTER, IA 50638-2028
(319) 824-5421
Mailing address
1334 C AVE, GLADBROOK, IA 50635-9356
(319) 239-4352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00703
IA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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