Mallory Jo Nicholson, RD, LD
NPI #1154751196 in West Des Moines, Iowa
Provider Information
- NPI Number
- 1154751196
- Entity Type
- Individual
- Name
- Mallory Jo Nicholson, RD, LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LD
- Enumeration Date
- Nov 12, 2013
- Last Updated
- Nov 12, 2013
Practice Location
- Address
- 1990 GRAND AVE
- City
- West Des Moines
- State
- Iowa
- ZIP Code
- 50265-4222
- Phone
- (515) 223-8151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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