Individual
MS. JILLIAN KAY MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-5104
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3142
MN
Other
Enumeration date
07/24/2013
Last updated
12/30/2016
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