Individual
DANIELLE RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, LD
Contact information
Practice address
919 N 26TH ST, GRAND FORKS, ND 58203-2241
(314) 478-6799
Mailing address
919 N 26TH ST, GRAND FORKS, ND 58203-2241
(314) 478-6799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1024
ND
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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