Gabriel Dan Mooney, R.D. Valid NPI
Individual provider · Registered Dietitian · Baudette, MN
- NPI
- 1174840672
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 2912 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-04-23
- Last updated
- 2010-04-26
Practice location
600 Main Ave S
Baudette, MN 56623-2855
(218) 634-2120