Integrated Rd Care
Dietitian, Registered in Corcoran, MN. Organization (NPI-2).
NPI number1902634801
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1902634801
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Rd Care
- Organization subpart
- No
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
19128 66th Ave NCorcoran, MN 55340-2001
Phone 320-237-5952
Mailing address
19128 66th Ave NCorcoran, MN 55340-2001
Phone 320-237-5952
Authorized official
Jana L Martin
Registered Dieitian
3202375952
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