Individual
MIRANDA LEE ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Mailing address
2065 N HOYNE AVE APT 3M, CHICAGO, IL 60647-4759
(636) 293-8184
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008324
IL
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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