Individual
ELIZABETH MAIKHOI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17045 MEDALLION AVE APT 72, TUSTIN, CA 92780-5067
(951) 454-0522
Mailing address
17045 MEDALLION AVE APT 72, TUSTIN, CA 92780-5067
(951) 454-0522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86095393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86095393
—
CA
Enumeration date
07/18/2018
Last updated
07/18/2018
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