Individual
JENNIFER MARGARET HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD.LD
Contact information
Practice address
1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 229-5109
Mailing address
1900 CENTRA CARE CIRCLE, CENTRA CARE HEALTH PLAZA, ST. CLOUD, MN 56303-5000
(320) 229-5199
(320) 229-5109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1628
MN
Other
Enumeration date
05/14/2007
Last updated
09/27/2012
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