Individual
BAILEY ROSE PETERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8100
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 293-8100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3350
MN
Other
Enumeration date
10/07/2009
Last updated
05/01/2018
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