Organization
KAYLEN JACKSON NUTRITION LLC
Active
Other names
Family First Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEN JACKSON RD, LD, CDCES (OWNER/LEAD DIETITIAN)
(612) 306-1939
Entity
Organization
Contact information
Practice address
4005 MONTEREY AVE, EDINA, MN 55416-5046
(612) 306-1939
Mailing address
4005 MONTEREY AVE, EDINA, MN 55416-5046
(612) 306-1939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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