Individual
JAMIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
Mailing address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3345
MN
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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