Organization
NUTRITIONAL WEIGHT AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE PAIGE VIGESAA RD (REGISTERED DIETITIAN)
(763) 221-1981
Entity
Organization
Contact information
Practice address
18480 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 641-5240
Mailing address
14223 VALLEY VIEW RD, 301, EDEN PRAIRIE, MN 55344-1961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2982
MN
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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