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Individual

MIA ABRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5125
Mailing address
2019 E TURNEY AVE APT 3, PHOENIX, AZ 85016-5539
(805) 459-3623

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86171865

Other

Enumeration date
02/24/2023
Last updated
02/24/2023
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