Individual
MANDY MARIE ROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
2902 CORPORATE PL, CHANHASSEN, MN 55317-4560
(952) 229-7014
Mailing address
2939 WASHBURN CIR, RICHFIELD, MN 55423-3540
(763) 229-9960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3282
MN
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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