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Search › Arizona › Driver

Mydung Phan, NUTRITIONIST

NPI 1245065945 · on the registry since 2024

Practice

Address
6637 N 58th Dr Apt 3
Glendale, AZ 85301
Phone
(623) 624-5179
Organisation at this address
Mydung Phan
Glendale Redbird Co
Glendale Redbird Co
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Driver
172A00000X
Also registered as
Nutritionist
Nutrition Education Nutritionist
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona