Individual
CAROLYN WARD DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LN
Contact information
Practice address
2833 CHICAGO AVE, MINNEAPOLIS, MN 55407-1319
(612) 863-3333
(612) 863-3107
Mailing address
3707 JOPPA AVE S, MINNEAPOLIS, MN 55416-4939
(612) 850-5468
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
N187
MN
133V00000X
Registered Dietitian
Primary
N187
MN
Other
Enumeration date
11/01/2006
Last updated
03/17/2018
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