Individual
MIKAYLA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LRD
Contact information
Practice address
1112 NODAK DR S, FARGO, ND 58103-2333
(701) 232-6224
Mailing address
719 2ND AVE W UNIT 2, WEST FARGO, ND 58078-1546
(701) 840-7798
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1493
ND
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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