Organization
UNIQUELY HEALTHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRABELLA MACIAS MS, RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(575) 640-2758
Entity
Organization
Contact information
Practice address
2700 BOLDT ST, LAS CRUCES, NM 88005-3876
(575) 640-2758
Mailing address
2700 BOLDT ST, LAS CRUCES, NM 88005-3876
(575) 640-2758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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