Individual
CHRISTINA KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, LRD
Contact information
Practice address
508 BRASSTOWN CT, PENDLETON, SC 29670-1877
(616) 460-7914
Mailing address
508 BRASSTOWN CT, PENDLETON, SC 29670-1877
(616) 460-7914
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
86058329
SC
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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