Individual
THERESE PICASSO-EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 W 21ST ST, RED LODGE, MT 59068
(406) 446-2345
Mailing address
2 SNOWY LN., RED LODGE, MT 59068-9645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
495
MT
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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