Individual
MRS. TERI LYNN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LN
Contact information
Practice address
2822 W 43RD ST, STE 200, MINNEAPOLIS, MN 55410-1696
(612) 920-2822
Mailing address
2822 W 43RD ST, STE 200, MINNEAPOLIS, MN 55410-1696
(612) 920-2822
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N196
MN
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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