Individual
MRS. YOMAIRA MIRANDA-LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4585
(919) 956-4558
Mailing address
6329 DRY FORK LN, RALEIGH, NC 27617-7655
(919) 412-8479
(919) 341-7276
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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