Individual
MS. CINDI FAYE PUTRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 332-4736
(507) 332-4848
Mailing address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 332-4736
(507) 332-4848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
726482
MN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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