Individual
JENNIFER EILEEN PETRUCCI DRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1451 ADAMS ST S, SHAKOPEE, MN 55379-2697
(952) 403-1520
Mailing address
6951 151ST ST, SAVAGE, MN 55378-4554
(612) 719-9391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3903
MN
Other
Enumeration date
04/16/2024
Last updated
05/15/2024
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