NPI 1033759865

Jolan Su McNinch, RDLD

Practitioner Registered Dietitian Mangilao, GU

Practice location

Address: 3108 Greenpark Condo, Washington Drive, Mangilao, GU 96923-9692
Phone: (671) 487-7206
Mailing address: PO Box 5224, Mangilao, GU 96923-5224

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 05 (GU)

Other Dietitian, Registered providers in Guam →

Registry record

NPI: 1033759865
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2020
Record last updated: 9 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.