Tran Luong, RD
Dietitian, Registered in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164068680
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1164068680
- Entity type
- Individual (NPI-1)
- Name
- Tran Luong
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86066490 | AZ | Yes |
Practice location
4653 E Cotton Gin Loop Ste 100Phoenix, AZ 85040-8835
Phone 623-399-6825 · Fax 623-505-3474
Mailing address
18001 N 79th Ave Ste A12Glendale, AZ 85308-8398
Phone 623-399-6825 · Fax 623-505-3474
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