Individual
MS. GLEE VAN-LOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4860 Y ST, SUITE 2300, SACRAMENTO, CA 95817-2307
(916) 734-0958
Mailing address
10523 FAIR OAKS BLVD, APT #205, FAIR OAKS, CA 95628-7500
(916) 965-6714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00922311
MI
Other
Enumeration date
11/30/2006
Last updated
08/03/2007
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