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NPI Code Detail

MEDICARE: SOOK JINN LEOW RDN

MEDICARE: SOOK JINN LEOW RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1301XOncology Nutrition Registered Dietitian
2133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1770293771
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOOK JINN LEOW RDN
Provider Business Mailing Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number : 623-745-9632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2022
Last Update Date : 03/03/2026

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Directions to “ SOOK JINN LEOW RDN” Practice Location

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