Individual
JENNA R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4547
MN
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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