Individual
AMANDA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2550 UNIVERSITY AVE W STE 216S, SAINT PAUL, MN 55114-1916
(952) 977-1816
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3883
MN
Other
Enumeration date
03/25/2020
Last updated
03/12/2021
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