Individual
ANDREA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(740) 703-8354
Mailing address
7015 CONLEY ST, BALTIMORE, MD 21224-1851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3835
MD
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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