Individual
TERESA PANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RDN
Contact information
Practice address
3885 TAM O SHANTER DR N APT SUITE, BETTENDORF, IA 52722-1945
(469) 667-0000
Mailing address
3885 TAM O SHANTER DR N, BETTENDORF, IA 52722-1945
(469) 667-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
072249
IA
133V00000X
Registered Dietitian
Primary
164007279
IL
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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