Individual
JENESSA M. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, 4E MOVE, MINNEAPOLIS, MN 55417-2309
(612) 467-4864
Mailing address
1 VETERANS DR, 4E MOVE, MINNEAPOLIS, MN 55417-2309
(612) 467-4864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
09/17/2015
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