Individual
OLIVIA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(651) 955-8725
Mailing address
8916 TEWSBURY GATE, MAPLE GROVE, MN 55311-1125
(651) 955-8725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4824
MN
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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