Individual
JILL CLOTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 E 40TH CT, DES MOINES, IA 50317-5537
(515) 556-0324
Mailing address
2621 E 40TH CT, DES MOINES, IA 50317-5537
(515) 556-0324
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
254562
IA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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