Individual
THERESA MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2007
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2007
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
3862
MN
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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