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Individual

ANGELA MARIE MIATKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2540 EAST ST, CONCORD, CA 94520-1960
(925) 674-2667
Mailing address
808 ANTIQUITY DR, FAIRFIELD, CA 94534-6615
(707) 656-7864

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
887462
CA

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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