Individual
RAQUEL RENEE MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7727
Mailing address
1534 N CLAREMONT AVE APT 3, CHICAGO, IL 60622-1781
(760) 470-2583
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007662
IL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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