Holly Sue Ellison, RD, LD

NPI #1114346350 in Mankato, Minnesota

Provider Information

NPI Number: 1114346350
Entity Type: Individual
Name: Holly Sue Ellison, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Apr 15, 2014
Last Updated: Jan 31, 2022

Practice Location

Address: 1230 E MAIN ST
City: Mankato
State: Minnesota
ZIP Code: 56001-5066
Phone: (507) 625-1811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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