Individual
ALYSSA CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2004
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3502
MN
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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