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Ellen Hosch, RD, CDE

Dietitian, Registered in Davenport, IA. Individual provider (NPI-1).

NPI number1669921607
StatusActive
Last updated in NPPESOct 3, 2016

Details

NPI
1669921607
Entity type
Individual (NPI-1)
Name
Ellen Hosch
Credential
RD, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2016
Last updated
Oct 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered00626IAYes

Practice location

1345 W Central Park Ave
Davenport, IA 52804-1844

Phone 563-421-4400 · Fax 563-421-4445

Mailing address

Po Box 4028
Rock Island, IL 61204-4028

Phone 563-355-9200 · Fax 563-355-3419

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