Individual
LEEANNA MICHELLE MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4602
Mailing address
7904 HALLMARK WAY, APPLE VALLEY, MN 55124-7076
(952) 288-3104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86210207
MN
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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