Individual
MS. MICHELLE R. DIDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109-1241
(651) 232-7800
Mailing address
18002 JUDICIAL WAY N, LAKEVILLE, MN 55044-9381
(248) 802-6028
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
3503
MN
133NN1002X
Nutrition Education Nutritionist
892296
MI
Other
Enumeration date
11/28/2006
Last updated
04/22/2020
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