Individual
JANA NICHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(562) 912-7087
Mailing address
PO BOX 14, LONG BEACH, CA 90801-0014
(562) 912-7087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00926126
CA
Other
Enumeration date
07/14/2016
Last updated
03/14/2017
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