Individual
LIYAO FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7315 CARLYLE AVE APT 14, MIAMI BEACH, FL 33141-2606
(312) 975-5852
Mailing address
7315 CARLYLE AVE APT 14, MIAMI BEACH, FL 33141-2606
(312) 975-5852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086175875
—
133V00000X
Registered Dietitian
ND12583
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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