Individual
ABBY CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6385 OLD SHADY OAK RD, EDEN PRAIRIE, MN 55344-3299
(612) 425-1529
Mailing address
6323 DEERWOOD LN, LINO LAKES, MN 55014-5467
(612) 816-6966
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4923
MN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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