Individual
ANGELA M TULLBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
16800 37TH PL N, STE 100, PLYMOUTH, MN 55446
(763) 520-7870
(763) 520-7580
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4035
MN
Other
Enumeration date
12/10/2019
Last updated
11/09/2023
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