Individual
ANDREW AKHAPHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
851 MARKETPLACE DR, WACONIA, MN 55387-1548
(952) 442-2512
(952) 442-4221
Mailing address
1046 ASTON CIR, BURNSVILLE, MN 55337-6716
(952) 232-8409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3431
MN
Other
Enumeration date
06/29/2016
Last updated
04/16/2020
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