Individual
MRS. CRISTIN K GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
411 LAUREL ST STE 3320, DES MOINES, IA 50314-3017
(515) 643-5203
(515) 643-5204
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5203
(515) 643-5204
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
00913
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723911
REGISTRATION NUMBER
IA
Enumeration date
03/26/2007
Last updated
11/15/2017
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