Individual
TAEYA NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
3201 HANDSOME DR, PFLUGERVILLE, TX 78660-5693
(617) 913-7351
Mailing address
3201 HANDSOME DR, PFLUGERVILLE, TX 78660-5693
(617) 913-7351
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
00000000
MA
133NN1002X
Nutrition Education Nutritionist
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Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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