Sara Lynn Ruiz R.D., L.D.

NPI 1417195363 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1417195363
Gender Female
Enumeration Date 01/30/2009
Last Updated 09/02/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
4422 WHITE BEAR AVE N
WHITE BEAR LAKE MN, 55110-3475, US
Phone (612) 354-6625
Fax (651) 342-8044
Business Location
2296 CASCADE PLZ N
WOODBURY MN, 55125-1605, US
Phone (612) 354-6625
Fax (651) 342-8044
Toxanomy
Taxonomy Code 133V00000X
License State Minnesota
License Number 2776
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According to our database, Sara Lynn Ruiz R.D., L.D. NPI is 1417195363, taxonomy code is 133V00000X and license number is 2776, license state is located at Minnesota. Sara Lynn Ruiz R.D., L.D. physically located at 4422 White Bear Ave N, White Bear Lake MN, 55110-3475. NPI Number Sara Lynn Ruiz R.D., L.D. has the Individual type.

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1417195363 NPI number is provided on an as is basis without warranty of any kind. 1417195363 is maintained by the National Plan & Provider Enumeration System. The contents of Sara Lynn Ruiz R.D., L.D. are for informational purposes only.