Individual
MS. JACQUELINE LAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
917 E NEWMARK AVE, APT#D, MONTEREY PARK, CA 91755-3134
(626) 573-8182
Mailing address
917 E NEWMARK AVE, APT#D, MONTEREY PARK, CA 91755-3134
(626) 573-8182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
948542
CA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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