Individual
MARY JEAN CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.D., C.D.E.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54509, LOS ANGELES, CA 90054-0509
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
643165
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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