Individual
JULIE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LN
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-4018
(320) 839-2985
Mailing address
389 OLD HIGHWAY 12, ORTONVILLE, MN 56278-2142
(320) 839-3258
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0153
SD
133V00000X
Registered Dietitian
Primary
1581
MN
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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