Individual
MRS. JORDYN METCHIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1100 QUAIL ST STE 110, NEWPORT BEACH, CA 92660-2779
(949) 554-4104
Mailing address
PO BOX 14002, IRVINE, CA 92623-4002
(949) 554-4104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86073473
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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