Individual
JOYCE ANN MAUEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, CDE.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6376
Mailing address
2513 SERENITY DR, SAINT CLOUD, MN 56301-9177
(320) 255-6480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00885409
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00885409
REGISTERED DIETITIAN
MN
Enumeration date
06/08/2006
Last updated
07/08/2007
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