Individual
BETTY BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3102
(952) 993-1761
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3102
(952) 993-1761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1013
MN
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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