Individual
KRISSIE ADELL STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
11111 BRITTANY DR N, CHAMPLIN, MN 55316-3843
(612) 247-4272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3616
MN
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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