Jimin Yang
Dietitian, Registered in New Port Richey, FL. Individual provider (NPI-1).
NPI number1063147239
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1063147239
- Entity type
- Individual (NPI-1)
- Name
- Jimin Yang
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
5145 Deer Park DrNew Port Richey, FL 34653-7013
Phone 727-809-1555
Mailing address
5145 Deer Park DrNew Port Richey, FL 34653-7013
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