Individual
JESSICA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
27303 SLEEPY HOLLOW AVENUE, HAYWARD, CA 94545-4299
(510) 784-2079
(510) 784-2767
Mailing address
27303 SLEEPY HOLLOW AVENUE, HAYWARD, CA 94545
(510) 784-2079
(510) 784-2767
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/19/2007
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