MYDUNG PHAN

GLENDALE, AZ
NPI1083429369
Doing Business AsMYDUNG PHAN
Other NameMYDUNG THI PHAN
Entity TypeOrganization
Authorized ContactMYDUNG THI PHAN
Registered Nutrionist
480-918-4775
Organization Subpart ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies133N00000X Nutritionist
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
136A00000X Dietetic Technician, Registered
171400000X Health & Wellness Coach
172A00000X Driver
Enumeration Date2025-02-12
Last Update Date2025-02-16
Business Address
MYDUNG PHAN
6637 N 58TH DR APT 3
GLENDALE, AZ 85301-3900
Phone number: 480-918-4775
Mailing Address
MYDUNG PHAN
6637 N 58TH DR APT 3
GLENDALE, AZ 85301-3900
Phone number: 480-918-4775