Individual
BRENDA J DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6500 EXCELSIOR BLVD, NFS DEPT, ST LOUIS PARK, MN 55426-4702
(952) 993-5179
Mailing address
6465 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55426-1728
(952) 993-5135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2731
MN
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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