Individual
MR. JASON MOUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., R.D.
Contact information
Practice address
165 ARCH ST, REDWOOD CITY, CA 94062-1303
(415) 516-7032
Mailing address
PO BOX 151, EL GRANADA, CA 94018-0151
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
993110
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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