Individual
MACKENZIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5366 84TH AVE SE, MONTPELIER, ND 58472-9554
(701) 659-8424
Mailing address
5366 84TH AVE SE, MONTPELIER, ND 58472-9554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1111
ND
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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