Individual
MS. HYUN JUNG SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3841
Mailing address
192-15B 64TH CIRCLE APT 2B, FRESH MEADOWS, NY 11365
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
009247-1
NY
133V00000X
Registered Dietitian
Primary
86096904
IL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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