Individual
JIE LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
431 MELNEA CASS BLVD APT 207, BOSTON, MA 02119-3783
(510) 387-6883
Mailing address
431 MELNEA CASS BLVD APT 207, BOSTON, MA 02119-3783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86149737
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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