Amy Sue Corum R.D., L.D.

NPI 1194931113 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1194931113
Gender Female
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
HASTINGS MN, 55033-1056, US
Phone (651) 480-4100
Fax (651) 480-4212
Business Location
15630 UPPER 194TH ST E
HASTINGS MN, 55033-9685, US
Phone (651) 438-3348
Taxonomy Code 133V00000X
License State Minnesota
License Number 1857
Remove 1194931113 NPI Number

According to our database, Amy Sue Corum R.D., L.D. NPI is 1194931113, taxonomy code is 133V00000X and license number is 1857, license state is located at Minnesota. Amy Sue Corum R.D., L.D. physically located at 1175 Nininger Rd, Hastings MN, 55033-1056. NPI Number Amy Sue Corum R.D., L.D. has the Individual type.

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1194931113 NPI number is provided on an as is basis without warranty of any kind. 1194931113 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Sue Corum R.D., L.D. are for informational purposes only.