Individual
THERESA ROSE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2540 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1431
(612) 273-5543
(612) 273-3014
Mailing address
4530 PARK COMMONS DR APT 111, MINNEAPOLIS, MN 55416-4950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4732
MN
Other
Enumeration date
03/14/2023
Last updated
03/15/2023
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