Individual
NICOLE BENESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
420 DELAWARE ST SE, NUTRITION SERVICES MMC 84, MINNEAPOLIS, MN 55455-0341
(612) 273-5590
Mailing address
170 ELMER ST APT 10, ROSEVILLE, MN 55113-6969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3590
MN
Other
Enumeration date
09/08/2015
Last updated
09/08/2016
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