Doctor Name: | SARA LYNN RUIZ |
NPI Number: | 1417195363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 2776 |
Business Practice Address: | 4422 White Bear Ave N White Bear Lake, MN - 551103475 |
Business Phone Number: | 6123546625 |
Business Fax Number: | 6513428044 |
Mailing Address: | 1311 Cottage Dr, STILLWATER |
State: | MN |
Postal Code: | 550825965 |
Phone Number: | 6123546625 |
Fax Number: | 6513428044 |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |