| NPI | 1457886400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANELLE KIRCHNER Owner/Operator/Dietitian 320-250-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3819) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |