Individual
JIE YING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
12001 FERRARA AVE, SILVER SPRING, MD 20906-4706
(301) 946-6623
(301) 946-1107
Mailing address
12001 FERRARA AVE, SILVER SPRING, MD 20906-4706
(301) 946-6623
(301) 946-1107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4633
MD
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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