Individual
LIN MY SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3547 COGSWELL RD, EL MONTE, CA 91732-2701
(626) 759-7940
Mailing address
3547 COGSWELL RD, EL MONTE, CA 91732-2701
(626) 759-7940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86110714
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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