Individual
SARAH PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8634 CARRIAGE HILL CT, SAVAGE, MN 55378-2373
(952) 221-4682
Mailing address
8634 CARRIAGE HILL CT, SAVAGE, MN 55378-2373
(952) 221-4682
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
4009
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4009
BOARD OF DIETETICS AND NUTRITION
MN
01
—
86052443
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
12/26/2018
Last updated
12/26/2018
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