NPI 1992374045

Antoinette Itoka

Practitioner Meals Provider Grimes, IA

Practice location

Address: 806 Southeast Crossing Lane, Grimes, IA 50111
Phone: (240) 643-4919

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

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Registry record

NPI: 1992374045
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2021
Record last updated: 23 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.