Individual
QUEENIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1613 E LAREDO ST, CHANDLER, AZ 85225-5352
(480) 577-7703
Mailing address
1613 E LAREDO ST, CHANDLER, AZ 85225-5352
(480) 577-7703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND3752
FL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528082948
GROUP NPI NUMBER
FL
Enumeration date
07/18/2006
Last updated
07/23/2013
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