Madeleine McLean, RD
Dietitian, Registered in San Diego, CA. Individual provider (NPI-1).
NPI number1164087573
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1164087573
- Entity type
- Individual (NPI-1)
- Name
- Madeleine McLean
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2019
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86066423 | CA | Yes |
Practice location
16685 W Bernardo DrSuite 121
San Diego, CA 92128
Phone 619-797-5838
Mailing address
16885 W Bernardo Dr Ste 121San Diego, CA 92127-1619
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