Individual
BETH SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDA, RD, LD
Contact information
Practice address
1185 TOWN CENTRE DR STE 205, EAGAN, MN 55123-1370
(612) 871-1145
(612) 870-5491
Mailing address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3730
MN
Other
Enumeration date
05/20/2021
Last updated
08/09/2022
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