Individual
CATHY B IMDIEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
519 NE 1ST ST., LINTON, ND 58552-0527
(701) 254-4104
Mailing address
519 NE 1ST ST., LINTON, ND 58552-0527
(701) 254-4104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
91
ND
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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