Individual
BEVERLY M BENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1114 S 19TH ST, GRAND FORKS, ND 58201-5122
(701) 610-9529
Mailing address
1114 S 19TH ST, GRAND FORKS, ND 58201-5122
(701) 610-9529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
211
ND
Other
Enumeration date
04/08/2011
Last updated
03/31/2016
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