Individual
JUANITA COLLEEN THADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N 7TH AVE, SHELDON, IA 51201-1235
(712) 324-5041
(712) 324-6025
Mailing address
118 N 7TH AVE, P.O. BOX 250, SHELDON, IA 51201-1235
(712) 324-5041
(712) 324-6025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00508
IA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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