Individual
MS. ELLEN JANE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1715
Mailing address
2523 BRIDGE AVE, DAVENPORT, IA 52803-1909
(563) 324-5740
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01187
IA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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