Individual
THERESA ERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1000
(605) 719-7680
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-1000
(605) 719-7680
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859965
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859965
LICENSE
SD
Enumeration date
08/30/2008
Last updated
09/04/2008
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