Individual
CELINE MUKEYINA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LN
Contact information
Practice address
650 OAHE AVE, TORONTO, SD 57268-0511
(605) 496-8068
Mailing address
PO BOX 511, TORONTO, SD 57268-0511
(605) 496-8068
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0533
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533
NUTRITIONIST LICENSE
SD
Enumeration date
11/21/2018
Last updated
11/21/2018
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