Provider Demographics
NPI:1306192190
Name:STAND, JULEE (RD)
Entity Type:Individual
Prefix:
First Name:JULEE
Middle Name:
Last Name:STAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JULEE
Other - Middle Name:
Other - Last Name:DUMLAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 PACIFICA
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5233
Mailing Address - Country:US
Mailing Address - Phone:949-677-5271
Mailing Address - Fax:949-272-3766
Practice Address - Street 1:26461 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6377
Practice Address - Country:US
Practice Address - Phone:949-677-5271
Practice Address - Fax:949-272-3766
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA927915133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered