Organization
DEFYING DIABETES LLC
Active
Other names
Defying Diabetes
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MCMICHAEL MS RD CNSC CDCES (REGISTERED DIETITIAN)
(415) 722-4498
Entity
Organization
Contact information
Practice address
615 WISCONSIN ST, SAN FRANCISCO, CA 94107-2733
(415) 722-4498
Mailing address
615 WISCONSIN ST, SAN FRANCISCO, CA 94107-2733
(415) 722-4498
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295875599
INDIVIDUAL NPI
CA
Enumeration date
08/24/2022
Last updated
09/27/2022
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