Individual
JILLIAN THERESA THOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N., L.D.
Contact information
Practice address
411 E HENNEPIN AVE, MINNEAPOLIS, MN 55414
(507) 993-1801
Mailing address
234 MISSISSIPPI RIVER BLVD N APT 304, SAINT PAUL, MN 55104-5621
(507) 993-1801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3710
MN
Other
Enumeration date
06/16/2016
Last updated
09/03/2018
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