Individual
SONJA MYDELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 789-3274
Mailing address
3409 BRYANT AVE S, MINNEAPOLIS, MN 55408-4111
(612) 458-9292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3805
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562
COLLEGE OF DIETITIANS OF BRITISH COLUMBIA
—
Enumeration date
12/22/2016
Last updated
04/13/2018
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