Individual
JENNIFER L GUPTAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
2180 PINEHURST DR, CHANHASSEN, MN 55317-4579
(612) 719-7774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4272
MN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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