Individual
JEE-IN MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
782 LONGFELLOW DR, FREMONT, CA 94539-6310
(510) 557-3710
(510) 657-7842
Mailing address
PO BOX 3354, FREMONT, CA 94539-0335
(510) 557-3710
(510) 657-7842
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
710410
—
133VN1004X
Pediatric Nutrition Registered Dietitian
710410
—
133VN1005X
Renal Nutrition Registered Dietitian
710410
—
133VN1006X
Metabolic Nutrition Registered Dietitian
710410
—
Other
Enumeration date
10/08/2008
Last updated
01/27/2009
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