Individual
JILLYNE BOBROWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8042 VICTORIA DRIVE, VICTORIA, MN 55386
(952) 905-1982
Mailing address
16204 HIGHWAY 7, MINNETONKA, MN 55345-3405
(952) 934-2555
(952) 934-3910
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174400000X
Specialist
Primary
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
2255A2300X
Athletic Trainer
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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