Hei Jessie Wong, RDN, LD
Dietitian, Registered in Bloomington, IN. Individual provider (NPI-1).
NPI number1164058392
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1164058392
- Entity type
- Individual (NPI-1)
- Name
- Hei Jessie Wong
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37002816A | IN | Yes |
Practice location
929 S Fenbrook CtBloomington, IN 47401-4814
Phone 202-468-9800
Mailing address
Po Box 7001Bloomington, IN 47407-7001
Phone 202-468-9800
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