Individual
KATHRYN MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7557 101ST ST N, SAINT PAUL, MN 55110-1306
(651) 334-3552
Mailing address
7557 101ST ST N, SAINT PAUL, MN 55110-1306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2573
MN
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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