Individual
JENA DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1001 18TH AVE NW, AUSTIN, MN 55912-1890
(507) 437-7625
Mailing address
7180 10TH ST N, OAKDALE, MN 55128-1122
(507) 437-7625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3410
MN
Other
Enumeration date
08/05/2014
Last updated
05/15/2024
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