Individual
JANET MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
22 INTEGRATED WELLNESS COMPLEX, 175 WEST MARK STREET, WINONA, MN 55987-5838
(507) 457-5160
Mailing address
222 INTEGRATED WELLNESS COMPLEX, P.O. BOX 5838, WINONA, MN 55987-5838
(507) 457-5160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3175
MN
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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