Individual
MRS. MISHELL D MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012654
NY
Other
Enumeration date
03/31/2025
Last updated
05/20/2025
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