Individual
MISS IAN LEI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
801 W VALLEY BLVD STE 206, ALHAMBRA, CA 91803-3257
(626) 283-5128
(888) 851-3688
Mailing address
621 PASQUAL AVE, SAN GABRIEL, CA 91775-2121
(310) 948-9383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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