Individual
ANDREA BALLENTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10609 PINNACLE WAY, WOODBURY, MN 55129-4281
(612) 719-0698
Mailing address
10609 PINNACLE WAY, WOODBURY, MN 55129-4281
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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