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Gina M Houmann, R.D.

Dietitian, Registered in St Louis Park, MN. Individual provider (NPI-1).

NPI number1124255138
StatusActive
Last updated in NPPESMar 24, 2017

Details

NPI
1124255138
Entity type
Individual (NPI-1)
Name
Gina M Houmann
Credential
R.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2009
Last updated
Mar 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2717MNYes

Other names

  • Gina Melbo (Former Name)

Practice location

3850 Park Nicollet Blvd.
St Louis Park, MN 55416

Phone 952-993-1990

Mailing address

8170 33rd Ave S
Mail Stop 21110q
Minneapolis, MN 55416

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