NPI 1629792379

Julie Fan, DTR

Practitioner Registered Dietetic Technician San Francisco, CA

Practice location

Address: 4150 Clement St, San Francisco, CA 94121-1563
Phone: (415) 221-4810

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86146743 (CA)

Other Dietetic Technician, Registered providers in California →

Registry record

NPI: 1629792379
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 22 Oct 2024

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.