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Individual

ELLEN HOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4445
Mailing address
PO BOX 4028, ROCK ISLAND, IL 61204-4028
(563) 355-9200
(563) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00626
IA

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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