Individual
JORDAN MERYL GASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2063 REDGROVE WAY, UPLAND, CA 91784-7972
(909) 816-2574
Mailing address
2063 REDGROVE WAY, UPLAND, CA 91784-7972
(909) 816-2574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86145033
CA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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