Sopheap Ham, RD

NPI #1184162505 in Renton, Washington

Provider Information

NPI Number
1184162505
Entity Type
Individual
Name
Sopheap Ham, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Feb 6, 2017
Last Updated
Feb 6, 2017

Practice Location

Address
2100 LAKE WASHINGTON BLVD N
Address 2
APARTMENT # D102
City
Renton
ZIP Code
98056-1450
Phone
(925) 640-9582

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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