Organization
BRADLEY MANAGEMENT LLC
Active
Other names
DIetitian Live
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMMA MARIE BACKES RDN (REGISTERED DIETITIAN)
(320) 309-8913
Entity
Organization
Contact information
Practice address
3250 W 66TH ST, EDINA, MN 55435-2522
(320) 309-8913
Mailing address
2713 W 54TH ST, MINNEAPOLIS, MN 55410-2511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
03/06/2024
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