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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYDUNG T PHAN, NUTRITIONIST

Active

Driver · GLENDALE, AZ

Registration Details

NPI Number
1245065945
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2024 (1.6685755917452 yrs)
Last Updated
Feb 18, 2025

Practice Information

Address
6637 N 58TH DR APT 3
GLENDALE, AZ, 853013900
Browse AZ providers · Browse ZIP 85301
Phone
6236245179
Primary Specialty
Driver
172A00000X
Additional Specialty
Nutrition, Education
Additional Specialty
Driver

Other Driver Providers in GLENDALE, AZ

Name Credential NPI
AISHA D PERRY 1265016828
AMMAR ALSOUBAII 1235884719
DIVINE NYAMASOSO MUKIZA 1023725355
MAMUN DEWAN 1063195071
SHITICE GRAVES 1053201780
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.