Mayly Thor, RD, LD
NPI #1487367017 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1487367017
- Entity Type
- Individual
- Name
- Mayly Thor, RD, LD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LD
- Enumeration Date
- Dec 28, 2022
- Last Updated
- Jan 5, 2023
Practice Location
- Address
- 6200 SHINGLE CREEK PKWY STE 250
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-2107
- Phone
- (763) 299-6431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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