Organization
BETHANYRD NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY MOTLEY (OWNER)
(218) 213-6472
Entity
Organization
Contact information
Practice address
5625 VINE HILL RD, MINNETONKA, MN 55345-5038
(218) 213-6472
Mailing address
5625 VINE HILL RD, MINNETONKA, MN 55345-5038
(218) 213-6472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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