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Individual

HAILEY ROSE BOUDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
2510 SW STATE ST, ANKENY, IA 50023-7097
(515) 963-3139
Mailing address
2510 SW STATE ST, ANKENY, IA 50023-7097
(515) 963-3139

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
076338
IA

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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