Jill Ann Mahan, RD

NPI #1104280692 in Duluth, Minnesota

Provider Information

NPI Number: 1104280692
Entity Type: Individual
Name: Jill Ann Mahan, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Apr 11, 2016
Last Updated: Apr 11, 2016

Practice Location

Address: 400 E 3RD ST
Address 2: 400 EAST THIRD STREET
City: Duluth
State: Minnesota
ZIP Code: 55805-1951
Phone: (218) 786-8364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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