Individual
MARIA WYNONAH LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1151 MILLER AVE, SAN JOSE, CA 95129-2943
(408) 506-8290
Mailing address
1151 MILLER AVE, SAN JOSE, CA 95129-2943
(408) 506-8290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
890413
CA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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