Individual
ELISA IGLESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
3430 LIST PL APT 2202, MINNEAPOLIS, MN 55416-4573
(612) 805-5538
Mailing address
1215 KINGSVIEW LN N, PLYMOUTH, MN 55447-4584
(612) 805-5538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5149
MN
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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