Individual
JUHA NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
3323 UNION ST, FLUSHING, NY 11354-3050
(718) 670-0753
Mailing address
3323 UNION ST, FLUSHING, NY 11354-3050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009827
NY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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