Individual
MRS. AMANDA TY STOMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
420 DELAWARE ST SE, MMC 84, MINNEAPOLIS, MN 55455-0341
(612) 273-5590
(612) 273-5039
Mailing address
9305 BLAISDELL AVE S, BLOOMINGTON, MN 55420-3621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
12/01/2011
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