Individual
BRADEN CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, LN
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
3335 17TH AVE SW, WATERTOWN, SD 57201-6005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4881
MN
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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