Individual
ALISON JEAN VANDENBERGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1ST SPECIAL OPERATIONS MEDICAL GROUP, HURLBURT FIELD, FL 32544
(850) 641-2337
Mailing address
529 EMMY LN, HANOVER, MN 55341-3100
(612) 219-5405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117786
MN
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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