Individual
ABBY JO TIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
120 MALLARD CT, MANKATO, MN 56001-1860
(507) 327-7993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3033
MN
Other
Enumeration date
01/16/2019
Last updated
07/22/2020
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