Provider Demographics
NPI:1275246779
Name:ALOL, ZEINAB ABDI JAMA (RDN)
Entity Type:Individual
Prefix:
First Name:ZEINAB
Middle Name:ABDI JAMA
Last Name:ALOL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 YORK AVE S APT 1003
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4443
Mailing Address - Country:US
Mailing Address - Phone:612-432-3628
Mailing Address - Fax:
Practice Address - Street 1:3800 AMERICAN BLVD W STE 1500
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-4429
Practice Address - Country:US
Practice Address - Phone:612-432-3628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4927133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered