Individual
MS. CHRISTINE WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 S CATALINA AVE UNIT 202, PASADENA, CA 91106-2908
(626) 589-8330
Mailing address
126 S CATALINA AVE UNIT 202, PASADENA, CA 91106-2908
(626) 589-8330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916269
CA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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