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Individual

MRS. AMBER MIZUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
100 EMANCIPATION DRIVE, BLDG 116, HAMPTON, VA 23667
(757) 722-9961
Mailing address
100 EMANCIPATION DRIVE, BLDG 116, HAMPTON, VA 23667
(757) 722-9961

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01000859
VA

Other

Enumeration date
10/12/2011
Last updated
11/30/2012
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