Individual
JULIE MARIE JASKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3349
MN
Other
Enumeration date
02/06/2019
Last updated
04/07/2021
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