Individual
MRS. ANDREA POTASHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
3180 OLIVE LN N, PLYMOUTH, MN 55447-1691
(612) 578-5031
Mailing address
3180 OLIVE LN N, PLYMOUTH, MN 55447-1691
(612) 578-5031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3361
MN
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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