Bailey Emma Benson, RD
Dietitian, Registered in Wadena, MN. Individual provider (NPI-1).
NPI number1336725977
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1336725977
- Entity type
- Individual (NPI-1)
- Name
- Bailey Emma Benson
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2021
- Certification date
- Mar 23, 2021
- Last updated
- Mar 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
4 Deerwood Ave NwWadena, MN 56482-1253
Phone 218-632-7113
Mailing address
40593 275th AvePelican Rapids, MN 56572-7727
Phone 701-371-3445
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