Individual provider · Type 1 NPI
Mydung T. Phan, NUTRITIONIST
Driver · Glendale, AZ
NPI number
1245065945
Active
Practice location
6637 N 58th Dr Apt 3
Glendale, AZ 85301-3900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
2 other providers at this address
Other driver providers in Glendale
About NPI 1245065945
Mydung T. Phan, NUTRITIONIST's National Provider Identifier is 1245065945, issued on Sep 4, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Glendale, AZ. The record was last updated on Feb 18, 2025.