| Real Nutrition | |
|
25212 County Highway 124 Fergus Falls MN 56537-8266 | |
| (218) 770-9788 | |
| Not Available |
| Full Name | Real Nutrition |
|---|---|
| Speciality | Clinic/center |
| Location | 25212 County Highway 124, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Katrina Lea Mouser (OWNER) |
| Authorized Official Contact | 2187709788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Nutrition 25212 County Highway 124 Fergus Falls MN 56537-8266 Ph: (218) 770-9788 | Real Nutrition 25212 County Highway 124 Fergus Falls MN 56537-8266 Ph: (218) 770-9788 |
| NPI Number | 1932631405 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932631405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2913 (Minnesota) | Primary |
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