| NPI | 1225304389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL LYNN HALVORSON Owner, Registered Dietitian 612-419-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 2880) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |