Individual
MRS. MIREYA E RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2355 S WESTERN AVE, CHICAGO, IL 60608-3837
(773) 650-1220
(773) 650-1218
Mailing address
2355 S WESTERN AVE, CHICAGO, IL 60608-3837
(773) 650-1220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003673
IL
Other
Enumeration date
05/30/2008
Last updated
07/11/2012
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