Individual
MILDRED JEAN SEABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD,CD
Contact information
Practice address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 236-6208
Mailing address
2173 24TH AVE, RICE LAKE, WI 54868-9791
(715) 234-6191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719-029
WI
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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