Doctor Name: | JAN LESLIE SPEER |
NPI Number: | 1831507516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 504029 |
Business Practice Address: | 1124 1st St Los Osos, CA - 934021102 |
Business Phone Number: | 9162025609 |
Business Fax Number: | |
Mailing Address: | 1124 1st St, LOS OSOS |
State: | CA |
Postal Code: | 934021102 |
Phone Number: | 9162025609 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2014 |
NPI Last Update Date: | 07/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 504029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |