Individual
ALICIA C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6466
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(952) 883-6391
(952) 883-9662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2832
MN
Other
Enumeration date
06/01/2009
Last updated
03/10/2021
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