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Individual
MIRANDA ORTOLANI
Active
Individual
MIRANDA ORTOLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DN0069972
PA
133V00000X
Registered Dietitian
Primary
DN0069972
PA
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
DN0069972
PA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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