Individual
KATIE ANN JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CN
Contact information
Practice address
997 GOODRICH AVE, SAINT PAUL, MN 55105-3133
(651) 278-0479
Mailing address
997 GOODRICH AVE, SAINT PAUL, MN 55105-3133
(651) 278-0479
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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