Individual
KATIE JANE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(218) 242-2429
Mailing address
10 7TH AVE N APT 306, HOPKINS, MN 55343-8848
(218) 242-2429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86022117
MN
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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