Individual
HOLLY SUE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-8001
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3274
MN
Other
Enumeration date
04/15/2014
Last updated
01/31/2022
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