Individual
MS. MIRANDA SW YANG-OSHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
488
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54053552
—
NM
Enumeration date
11/02/2005
Last updated
01/04/2008
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