ABBY L MATHISTAD

RAPID CITY, SD
NPI1841563194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SD  0413)
Additional Taxonomies133N00000X Nutritionist
(Licence: SD  0000)
133V00000X Dietitian, Registered
(Licence: SD  0000)
Enumeration Date2012-02-17
Last Update Date2014-02-07
Business Address
-- ABBY L MATHISTAD MS, RD, LN
502 E MONROE ST
RAPID CITY, SD 57701-1400
Phone number: 605-755-4060
Mailing Address
-- ABBY L MATHISTAD MS, RD, LN
353 FAIRMONT BLVD ATTEN CHRISTIE MSS
RAPID CITY, SD 57701-7350
Phone number: