Mary Maureen Bazille, RD

NPI #1700042702 in Minneapolis, Minnesota

Provider Information

NPI Number
1700042702
Entity Type
Individual
Name
Mary Maureen Bazille, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nutritionist
Credential
RD
Enumeration Date
Jul 30, 2008
Last Updated
Dec 28, 2010

Practice Location

Address
2450 RIVERSIDE AVE
ZIP Code
55454-1450
Phone
(612) 273-4395

Specialties & Taxonomy Codes

Specialty
Nutritionist

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