Individual
SOPHIA CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JOSLIN PL # 382A, BOSTON, MA 02215-5306
(617) 732-2699
Mailing address
1 JOSLIN PL # 382A, BOSTON, MA 02215-5306
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
897907
ADA MEMBER
MA
Enumeration date
09/27/2006
Last updated
07/08/2007
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