Individual
MS. BREEANNA LYNN GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
25755 655TH ST, KASSON, MN 55944-1896
(507) 990-0576
Mailing address
25755 655TH ST, KASSON, MN 55944-1896
(507) 990-0576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103268
MN
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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