Individual
JOHANNA M DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., R.D.
Contact information
Practice address
1200 SIXTH AVE, SUITE 201, BELMONT, CA 94002-3856
(650) 455-9242
Mailing address
313 ESTRELLA WAY, SAN MATEO, CA 94403-2940
(650) 703-6090
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
931795
CA
Other
Enumeration date
05/05/2009
Last updated
04/06/2010
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