Individual
DORA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, NUTRITIONIST
Contact information
Practice address
8781 PARADISE VALLEY BLVD, LUCERNE, CA 95458-8549
(408) 802-2068
Mailing address
8781 PARADISE VALLEY BLVD, LUCERNE, CA 95458-8549
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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