Individual
IRMA FRLJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-3000
Mailing address
4E RIDGE RD, CIRCLE PINES, MN 55014-1787
(612) 703-0721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4787
MN
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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