Individual
JILL ANN MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
400 E 3RD ST, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3219
MN
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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