Individual
MS. DEBRA LYN VEVEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
4625 CHURCHILL ST, SUITE 110, SHOREVIEW, MN 55126
(651) 766-3915
(651) 766-3901
Mailing address
4625 CHURCHILL ST, SUITE 110, SHOREVIEW, MN 55126-5868
(652) 766-3915
(651) 766-3901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2210
MN
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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