Individual
STACY JO MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 NW JACKSON DR, ANKENY, IA 50023-8854
(309) 269-6396
Mailing address
604 NW JACKSON DR, ANKENY, IA 50023-8854
(309) 269-6396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01627
IA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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