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Individual

KATHERINE ELIZABETH MIRANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
2058 OLD MAMMOTH RD # B1, MAMMOTH LAKES, CA 93546-6097
(843) 252-7397
Mailing address
PO BOX 9352, MAMMOTH LAKES, CA 93546-9341

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86298201

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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