Individual
MS. JILL F. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2600
LICENSE
MN
Enumeration date
12/06/2006
Last updated
07/08/2007
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