Individual
JIAWEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(530) 601-3637
Mailing address
75 PETERBOROUGH ST, BOSTON, MA 02215-4311
(530) 601-3637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007776
GA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/24/2025
Last updated
08/27/2025
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