Individual
ANDREINA GUEDEZ MIJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 815-6167
Mailing address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1848
MS
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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