Individual
AMY NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-7702
Mailing address
411 W COMMERCE ST APT 395, DALLAS, TX 75208-1331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87192
TX
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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