Individual
SASHA C BLOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
(712) 792-2124
Mailing address
1707 PIKE AVE, CARROLL, IA 51401-1626
(712) 292-4372
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001847
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001847
STATE LICENSE
IA
Enumeration date
11/14/2008
Last updated
11/14/2008
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