Individual
MRS. LIANG CHU KUNG DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN.
Contact information
Practice address
11030 WEXFORD DR, EADS, TN 38028-6934
(901) 853-6368
Mailing address
11030 WEXFORD DR, EADS, TN 38028-6934
(901) 853-6368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
611225
TN
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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