Individual
MS. GRACE LIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
4339 WINTRESS DR, CHINO, CA 91710-2152
(626) 475-5749
Mailing address
4339 WINTRESS DR, CHINO, CA 91710-2152
(626) 475-5749
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
926505
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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