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Individual
BETHANY JUNG
Active
Individual
BETHANY JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
NULL
133V00000X
Registered Dietitian
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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