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Individual

JAYLENE TANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3275 HYDE ST, OAKLAND, CA 94601-2610
(510) 861-1649
Mailing address
3275 HYDE ST, OAKLAND, CA 94601-2610

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86014665

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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