Individual
KATIE Y WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-1247
Mailing address
25039 STARR ST APT 4, LOMA LINDA, CA 92354-2831
(626) 560-0646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86093620
CA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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