Individual
MARIA MAE MAHADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 604-5198
Mailing address
871 PONTIAC LN, CHANHASSEN, MN 55317-9429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/18/2008
Last updated
04/05/2012
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