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Antoinette Itoka
Meals Provider in Grimes, Iowa
NPI 1992374045

Antoinette Itoka is a Meals Provider based in Grimes, IA. Antoinette Itoka practices in Grimes, IA. The NPI Number for Antoinette Itoka is 1992374045 and holds a License No. (Iowa).

The current practice location address for Antoinette Itoka is 806 Southeast Crossing Lane, Grimes, IA and can be reached out via phone at 240-643-4919.

Location: 806 Southeast Crossing Lane, Grimes, IA, 50111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992374045
Provider Name
Antoinette Itoka
Credential
Provider Entity Type
Individual
Gender
Male
Address
806 Southeast Crossing Lane, Grimes, IA, 50111
Phone Number
240-643-4919
Fax Number
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
806 Southeast Crossing Lane
City
Grimes
State
Iowa
Zip
50111
Phone Number
240-643-4919
Fax Number
person
Provider Business Mailing Address Details
Address
806 Southeast Crossing Lane
City
Grimes
State
Iowa
Zip
50111
Phone Number
240-643-4919
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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