MARY MAUREEN BAZILLE

MINNEAPOLIS, MN
NPI1700042702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133N00000X Nutritionist
(Licence: VA  994556)
Enumeration Date2008-07-30
Last Update Date2010-12-28
Business Address
-- MARY MAUREEN BAZILLE RD
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-4395
Mailing Address
-- MARY MAUREEN BAZILLE RD
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-4395