Elisa Wan, DTR
NPI #1386859353 in San Francisco, California
Provider Information
- NPI Number
- 1386859353
- Entity Type
- Individual
- Name
- Elisa Wan, DTR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietetic Technician, Registered
- Credential
- DTR
- Enumeration Date
- May 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 375 LAGUNA HONDA BLVD
- City
- San Francisco
- State
- California
- ZIP Code
- 94116-1411
- Phone
- (415) 759-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietetic Technician, Registered |
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