Individual
ALICE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
280 SMITH AVE N STE 700, SAINT PAUL, MN 55102-2972
(651) 241-6600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164007727
—
IL
Enumeration date
12/03/2019
Last updated
08/13/2024
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