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Individual

CARLA MAY VAN HOLSTEIJN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD/LD

Contact information

Practice address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6198
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6198

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00854
IA

Other

Enumeration date
07/28/2011
Last updated
07/28/2011
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