Individual
JESSICA LOUISE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LN
Contact information
Practice address
3840 26TH AVE S, MINNEAPOLIS, MN 55406-3014
(612) 964-2938
Mailing address
3840 26TH AVE S, MINNEAPOLIS, MN 55406-3014
(612) 964-2938
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N224
MN
Other
Enumeration date
11/04/2017
Last updated
01/20/2023
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