Individual
MRS. JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE CDN
Contact information
Practice address
2114 CRESCENT ST, APARTMENT D7, ASTORIA, NY 11105-3359
(484) 437-1623
Mailing address
2114 CRESCENT ST, APARTMENT D7, ASTORIA, NY 11105-3359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48006371
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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