Individual
MS. ANGELITA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MS, CDE, BC-ADM
Contact information
Practice address
1650 RESPONSE ROAD, SACRAMENTO, CA 95815
(916) 614-4961
Mailing address
1650 RESPONSE ROAD, SACRAMENTO, CA 95815
(916) 614-4961
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
R329282
CA
Other
Enumeration date
12/23/2005
Last updated
07/16/2007
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