Individual
TOMMY TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
AZ
136A00000X
Registered Dietetic Technician
86358698
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
04/10/2026
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