Individual
MRS. CRISTY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1006587
MN
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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