Individual
MRS. MARSHA C PANTHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3000 HUNDERTMARK RD, SUITE 2, CHASKA, MN 55318-1150
(952) 361-0042
Mailing address
7421 HIDDEN VALLEY HOLW S, COTTAGE GROVE, MN 55016-5734
(651) 458-1916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2299
MN
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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