Individual
FELICE SUI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
415 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-2200
Mailing address
2 DEERPARK LN, JOHNSON CITY, TN 37604-2965
(423) 282-8590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
716340
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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