NPI Profile for MYDUNG PHAN in GLENDALE, AZ.
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Other Service Providers |
175T00000X | |||
Dietetic Technician, Registered |
136A00000X | |||
Driver |
172A00000X | |||
Health & Wellness Coach |
171400000X | |||
Nutrition, Obesity and Weight Management |
133VN1201X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X |
| NPI # | 1083429369 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/12/2025 | |
| Last updated | 02/16/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MYDUNG PHAN
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