Individual
JESSICA PAULINE LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 UNIVERSITY AVE, WEST DES MOINES, IA 50266-8203
(515) 241-8686
Mailing address
6500 EP TRUE PKWY APT 3205, WEST DES MOINES, IA 50266-5263
(515) 210-4297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116754
IA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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