Individual
MISS NICOLE LYNN GERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LRD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6604
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6604
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1021
ND
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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