Logan Stackhouse

NPI #1346961125 in Mount Ayr, Iowa

Provider Information

NPI Number
1346961125
Entity Type
Individual
Name
Logan Stackhouse
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Sep 8, 2022
Last Updated
Sep 8, 2022

Practice Location

Address
2325 210TH ST
State
Iowa
ZIP Code
50854-8891
Phone
(386) 507-5449

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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