| Nourish Dsm, Llc | |
|
15027 Rosewood Dr, Clive, IA 50325-7853 | |
| (515) 423-0115 | |
| Not Available |
| Full Name | Nourish Dsm, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 15027 Rosewood Dr, Clive, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306707328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish Dsm, Llc 15027 Rosewood Dr, Clive, IA 50325-7853 Ph: (515) 423-0115 | Nourish Dsm, Llc 15027 Rosewood Dr, Clive, IA 50325-7853 Ph: (515) 423-0115 |
An Tinh Luong, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15058 Woodcrest Dr, Clive, IA 50325 Phone: 515-402-0131 |
Katherine E Netz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15027 Rosewood Dr, Clive, IA 50325 Phone: 515-210-1339 |