Individual
CAMILLE J HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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