Individual
MRS. MONINIA SIANGHIO OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
26906 N 21ST DR, PHOENIX, AZ 85085-8723
(623) 332-5793
Mailing address
26906 N 21ST DR, PHOENIX, AZ 85085-8723
(623) 332-5793
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
644878
—
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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