Individual
DANETTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COUNTY ROAD 42 W, BURNSVILLE, MN 55337-6913
(952) 224-8990
Mailing address
2100 COUNTY ROAD 42 W, BURNSVILLE, MN 55337-6913
(952) 224-8990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3215
MN
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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