Individual
STEFANIE KAITLYN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
Mailing address
900 HOYT AVE W, SAINT PAUL, MN 55117-3301
(515) 314-6079
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86168535
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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