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Individual

MS. IRENE MUN NG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETICIAN

Contact information

Practice address
629 GALLAHER RD, THERAPY OFFICE, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Mailing address
629 GALLAHER RD, THERAPY OFFICE, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2342
TN

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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