Individual
GARY KWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
6732 136TH ST, #B, FLUSHING, NY 11367-1624
(949) 395-3038
Mailing address
6732 136TH ST, #B, FLUSHING, NY 11367-1624
(949) 395-3038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1055314
NY
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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