Individual
LILY S KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MS,RD, LD, LMNT
Contact information
Practice address
904 TEGNER DR, MONTEREY PARK, CA 91755-5750
(626) 590-4537
Mailing address
904 TEGNER DR, MONTEREY PARK, CA 91755-5750
(626) 590-4537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
892681
CA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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