Individual
COLLEEN MARIE WURM KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1862
(712) 737-4984
Mailing address
1176 5TH AVENUE CIR NE, SIOUX CENTER, IA 51250-2143
(712) 722-3787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01253
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01253
DIETITIAN LISCENSE
IA
Enumeration date
08/04/2006
Last updated
07/08/2007
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