Organization
MINDFUL MAMA NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON REYNOLDS RD (OWNER, REGISTERED DIETITIAN)
(507) 200-2064
Entity
Organization
Contact information
Practice address
17900 ISLE AVE, LAKEVILLE, MN 55044-9652
(507) 200-2064
Mailing address
17900 ISLE AVE, LAKEVILLE, MN 55044-9652
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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