Individual
KAYLA HUSLEBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9600 SQUIRE LN, EDEN PRAIRIE, MN 55347-3169
(952) 261-9843
Mailing address
9600 SQUIRE LN, EDEN PRAIRIE, MN 55347-3169
(952) 261-9843
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86054815
MN
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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