Organization
NUTRITIONAL WEIGHT & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE KVIST CNS, LN (DIRECTOR)
(651) 699-3438
Entity
Organization
Contact information
Practice address
45 SNELLING AVE N, SAINT PAUL, MN 55104
(651) 699-3438
(651) 695-0191
Mailing address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
(651) 695-0191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N150
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02D10NU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/27/2009
Last updated
07/02/2018
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