Hailey Rose Boudreau, RD, LD

NPI #1699147413 in Ankeny, Iowa

Provider Information

NPI Number: 1699147413
Entity Type: Individual
Name: Hailey Rose Boudreau, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 2510 SW STATE ST
City: Ankeny
State: Iowa
ZIP Code: 50023-7097
Phone: (515) 963-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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