Individual
BETTEJANE KREMEN GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Mailing address
2641 NATCHEZ AVE S, ST LOUIS PARK, MN 55416-3946
(952) 922-8865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
23317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23317
BOARD OF DIETETICS AND NUTRITION LICENSE
MN
01
—
535932
REGISTERED DIETITION
MN
Enumeration date
10/30/2008
Last updated
10/30/2008
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