Jodi C Bullock, RD, CLT
NPI #1194063123 in West Des Moines, Iowa
Provider Information
- NPI Number
- 1194063123
- Entity Type
- Individual
- Name
- Jodi C Bullock, RD, CLT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, CLT
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 4825 EP TRUE PKWY
- Address 2
- SUITE 101
- City
- West Des Moines
- State
- Iowa
- ZIP Code
- 50265-6403
- Phone
- (515) 226-3468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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