Individual
ANDREA VICTORIA KLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6376
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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