Most Relevant Information
Provider Data
| NPI Number: | 1003673856 |
| Provider Name: | DIANA THUY KHANH HOANG RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 164.009466 |
Most Important Dates
| Enumeration Date: | 02/28/2024 |
| Last Updated: | 02/28/2024 |
Provider Practice Location
2653 W OGDEN AVE
CHICAGO
IL
606081647
Practice Location Phone/Fax
| Phone: | 7732576508 |
| Fax: |
Provider Mailing Location
26374 WOODLINE CT
FLAT ROCK
MI
481341864
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |