Individual
KEVIN MENG LUNG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
Mailing address
10620 TREENA ST, SAN DIEGO, CA 92131-1140
(619) 793-2010
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
07/12/2019
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