Organization
RENEWED NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY WEIRENS RD, LD (REGISTERED DIETITIAN/OWNER)
(320) 293-2189
Entity
Organization
Contact information
Practice address
5201 EDEN AVE STE 300, EDINA, MN 55436-2315
(320) 293-2189
Mailing address
3144 CHOWEN AVE S APT 305, MINNEAPOLIS, MN 55416-5449
(320) 293-2189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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