Organization
SALEM DIETETICS, LLC
Active
Other names
Salem Dietetics
Organization subpart
No
Provider details
NPI number
Authorized official
DOHA SALEM MS, RD, CDE (CEO)
(917) 330-8441
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N STE 320, MAPLE GROVE, MN 55369-4451
(917) 330-8441
Mailing address
9325 UPLAND LN N STE 320, MAPLE GROVE, MN 55369-4451
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
08/17/2018
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