Individual
MRS. BETHANY JOY MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5625 VINE HILL RD, MINNETONKA, MN 55345-5038
(218) 213-6472
Mailing address
5625 VINE HILL RD, MINNETONKA, MN 55345-5038
(218) 213-6472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4454
MN
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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