Individual
LY MEY UNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 302-4464
Mailing address
9961 SIERRA AVENUE, FONTANA, CA 92335
(909) 302-4464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/09/2011
Last updated
03/31/2015
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