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Individual

CHRISTINE PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L, AC.

Contact information

Practice address
1200 EL CARMINO RAEL, SOUTH SAN FRANCISCO, CA 94080
(650) 742-2298
Mailing address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
171100000X
Acupuncturist
AC6677
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AC006677
CA
Enumeration date
12/26/2006
Last updated
12/22/2021
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