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Individual

MR. JAN KIELMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CNS, IFMCP

Contact information

Practice address
112 E OLIVE AVE STE F, REDLANDS, CA 92373-5281
(909) 810-0858
Mailing address
10600 HIGHLAND SPRINGS AVE, CHERRY VALLEY, CA 92223-5548

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU 60611293
WA
133NN1002X
Nutrition Education Nutritionist
174H00000X
Health Educator

Other

Enumeration date
01/25/2016
Last updated
09/19/2019
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