Individual
JENNA STANGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12324 WAYZATA BLVD, MINNETONKA, MN 55305-1919
(952) 835-4512
Mailing address
7815 3RD ST N, SUITE 203, OAKDALE, MN 55128-5447
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1096973
MN
Other
Enumeration date
06/06/2014
Last updated
06/11/2014
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