Individual
ANGELA Y LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
77897 LITTLE EAGLE CT, LA QUINTA, CA 92253-7159
(301) 233-6711
Mailing address
PO BOX 5022, LA QUINTA, CA 92248-5022
(301) 233-6711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
508329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508329
—
CA
Enumeration date
03/31/2008
Last updated
03/31/2008
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