Individual
JOLENE MARGARET CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LN
Contact information
Practice address
1250 WAYZATA BLVD E, WAYZATA, MN 55391-1951
(952) 345-0766
(651) 695-0191
Mailing address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
(651) 695-0191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N240
MN
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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