Individual
MISS JESSICA PAVLINEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
551 S ILLINOIS AVE, MASON CITY, IA 50401-4441
(641) 424-9741
Mailing address
600 N KENTUCKY AVE, APT 202A, MASON CITY, IA 50401-2500
(630) 461-6047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002184
IA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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