Individual
MRS. SHANNON LEE JANNATPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-3216
(612) 273-5039
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-3216
(612) 273-5039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2798
MN
Other
Enumeration date
06/03/2009
Last updated
04/24/2015
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