Individual
MS. JENNIFER M HILLUKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
218
AK
133V00000X
Registered Dietitian
Primary
2602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801033642
—
MN
Enumeration date
01/15/2009
Last updated
10/01/2019
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