Individual
ALLISON MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(248) 496-1667
Mailing address
925 ALYSHEBA RD APT 216, SHAKOPEE, MN 55379-4914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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