Individual
JAN KANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-6098
(510) 752-6550
Mailing address
660 FARGO AVE APT 10, SAN LEANDRO, CA 94579-2166
(510) 752-6098
(510) 752-6550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719429
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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