Individual
BROOKE DANIELLE DORMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
2712 CEDAR LN, BURNSVILLE, MN 55337-2105
(651) 261-7239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
07/31/2012
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