Individual
ANDREA JEAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LN
Contact information
Practice address
1325 S CLIFF AVE OFC 1504A, SIOUX FALLS, SD 57105-1007
(605) 322-1194
Mailing address
514 S LAKOTA AVE, BRANDON, SD 57005-1917
(605) 759-7642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0630
SD
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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