MYDUNG PHAN, NUTRITIONIST

Driver

Active Individual
NPI: 1245065945

Practice Address

6637 N 58TH DR APT 3
Glendale, AZ 85301

Phone: (623) 624-5179

Specialties

Specialty Code Primary License
Nutritionist 133N00000X No -
Nutritionist - Nutrition, Education 133NN1002X No -
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1245065945 is the National Provider Identifier for MYDUNG PHAN, NUTRITIONIST, a Driver provider located in Glendale, AZ. This NPI was enumerated on September 4, 2024.
MYDUNG PHAN, NUTRITIONIST practices at 6637 N 58TH DR APT 3, Glendale, AZ 85301.

Quick Facts

NPI
1245065945
Type
Individual
Enumerated
Sep 4, 2024
Last Updated
Feb 18, 2025

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