Individual
CHRISTINA E KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST, JD, MS
Contact information
Practice address
3639 HAVEN AVE UNIT A424, MENLO PARK, CA 94025
(734) 657-0101
Mailing address
3639 HAVEN AVE UNIT A424, MENLO PARK, CA 94025-1147
(734) 657-0101
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X
X
—
Enumeration date
01/11/2018
Last updated
11/21/2018
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