Individual
AMBER NICOLE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CNSC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7887
Mailing address
5463 CALKINS AVE SW, KALONA, IA 52247-9140
(319) 321-8354
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001901
IA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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