Individual
JANA LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
7101 WINNETKA AVE N, MINNEAPOLIS, MN 55428-1619
(320) 237-5952
Mailing address
7101 WINNETKA AVE N, BROOKLYN PARK, MN 55428-1619
(320) 237-5952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
980124
IN
133V00000X
Registered Dietitian
Primary
980124
MN
Other
Enumeration date
03/05/2010
Last updated
02/13/2020
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