Individual
JOCELYN R MATHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2568
MN
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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