Individual
JIAKUN YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
22326 EXPLORATION DR, LEXINGTON PARK, MD 20653-2020
(443) 279-7989
Mailing address
1099 WINTERSON RD, LINTHICUM HEIGHTS, MD 21090-2216
(800) 905-3261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX7278
MD
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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