Individual
JILLIAN S CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
94 VIA ONDA, SAN CLEMENTE, CA 92673-5688
(412) 901-4458
Mailing address
94 VIA ONDA, SAN CLEMENTE, CA 92673-5688
(412) 901-4458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86106331
CA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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