Doctor Name: | MS. SANDRA W RETZLAFF |
NPI Number: | 1861419202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LRD |
License Number: | 210 |
Business Practice Address: | 2101 Elm St N Fargo, ND - 581022417 |
Business Phone Number: | 7012393745 |
Business Fax Number: | 7012372485 |
Mailing Address: | 1126 1st St N, FARGO |
State: | ND |
Postal Code: | 581023730 |
Phone Number: | 7012325799 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
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 |