Rachel Pamela Fox Jacobsen, MPH RDN LD | |
515 Yosemite Ave N, Golden Valley, MN 55422-5029 | |
(586) 453-9272 | |
Not Available |
Full Name | Rachel Pamela Fox Jacobsen |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 515 Yosemite Ave N, Golden Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386119451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 3827 (Minnesota) | Primary |
Provider Name | Fairview Express Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
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Rachel Pamela Fox Jacobsen, MPH RDN LD 515 Yosemite Ave N, Minneapolis, MN 55422-5029 Ph: (586) 453-9272 | Rachel Pamela Fox Jacobsen, MPH RDN LD 515 Yosemite Ave N, Golden Valley, MN 55422-5029 Ph: (586) 453-9272 |
Dr. Krystle E Lieberman Wall, DC, RD, LD, CBS LC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5801 Duluth St, Suite 150, Golden Valley, MN 55422 Phone: 736-541-1280 Fax: 763-541-1012 | |
Dr. Mallory Patricia Franklin, PHD, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5851 Duluth St Ste 306, Golden Valley, MN 55422 Phone: 612-202-8703 |