Individual
MR. JASON MICHAEL GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
11269 PEACH GROVE ST, NORTH HOLLYWOOD, CA 91601-4519
(818) 760-0455
Mailing address
11269 PEACH GROVE ST, NORTH HOLLYWOOD, CA 91601-4519
(818) 220-0008
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092006
CA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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