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Individual

YEN ANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DRPH, MPH, MS, RD, F

Contact information

Practice address
550 W MERRILL ST STE 100, BIRMINGHAM, MI 48009-1443
(254) 415-5086
Mailing address
26265 CRESTHAVEN CT, LOMA LINDA, CA 92354-4139
(909) 488-2534

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
983710

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D6628380
DRIVER'S LICENSE
CA
Enumeration date
07/12/2022
Last updated
07/12/2022
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