Individual
MAYBLE L JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1650 S AMPHLETT BLVD STE 115, SAN MATEO, CA 94402-2514
(650) 319-8654
Mailing address
1650 S AMPHLETT BLVD STE 115, SAN MATEO, CA 94402-2514
(650) 319-8654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100513
CA
Other
Enumeration date
05/31/2019
Last updated
12/10/2019
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