605 DIETITIAN, LLC

HARRISBURG, SD
NPI1700415296
Entity TypeOrganization
Authorized ContactKELSEY MARIE RAAB
Registered Dietitian
605-870-1036
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2020-04-06
Last Update Date2021-11-10
Business Address
605 DIETITIAN, LLC
276 TIGER WAY UNIT 1
HARRISBURG, SD 57032-2506
Phone number: 605-870-1036
Mailing Address
605 DIETITIAN, LLC
904 E DONLIN ST
MILLER, SD 57362-1654
Phone number: 605-870-1036