Individual
JENNA M ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16600 810TH AVE, GLENVILLE, MN 56036-4172
(641) 390-0462
Mailing address
16600 810TH AVE, GLENVILLE, MN 56036-4172
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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