Individual
JESSICA PUI YAN QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
941 10TH ST APT 7, SANTA MONICA, CA 90403-2925
(310) 598-9400
Mailing address
941 10TH ST APT 7, SANTA MONICA, CA 90403-2925
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030737
CA
133V00000X
Registered Dietitian
—
CA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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