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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOLAN SU MCNINCH, RD,LD

Active Sole Proprietor

JOLAN SU MCNINCH, RD,LD is a Registered Dietitian healthcare provider located in MANGILAO, Guam. NPI 1033759865 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · MANGILAO, GU

Registration Details

NPI Number
1033759865
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2020 (6.5576350124418 yrs)
Last Updated
Jan 9, 2020
License
05 (GU)
Sole Proprietor
Yes

Practice Information

Address
3108 GREENPARK CONDO, WASHINGTON DRIVE
MANGILAO, GU, 969239692
Browse GU providers · Browse ZIP 96923
Phone
6714877206
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.