Individual
MRS. AYN TANYA PAVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1920 GRANT ST NW, FARIBAULT, MN 55021-4831
(507) 334-2085
Mailing address
1920 GRANT ST NW, FARIBAULT, MN 55021-4831
(507) 334-2085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2662
MN
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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