Individual
MARY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
845 JACKSON ST, SAN FRANCISCO, CA 94133-4851
(415) 677-2305
Mailing address
845 JACKSON ST # B1, SAN FRANCISCO, CA 94133-4851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1045960
CA
Other
Enumeration date
03/22/2020
Last updated
03/25/2024
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