Individual
MYDUNG T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
6637 N 58TH DR APT 3, GLENDALE, AZ 85301-3900
(623) 624-5179
Mailing address
6637 N 58TH DR APT 3, GLENDALE, AZ 85301-3900
(623) 624-5179
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
172A00000X
Driver
Primary
—
AZ
Other
Enumeration date
09/04/2024
Last updated
02/18/2025
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