Individual
ANGELICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4342
MN
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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