Individual
CRISSY SICAT PANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2418 WILLIAMS CT, SOUTH SAN FRANCISCO, CA 94080-4053
(650) 580-9089
Mailing address
2418 WILLIAMS CT, SOUTH SAN FRANCISCO, CA 94080-4053
(650) 580-9089
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86080701
CA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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