Individual
MIRIAM LAPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, RDN
Contact information
Practice address
11232 WOODMAR LN NE, ALBUQUERQUE, NM 87111-6509
(505) 290-8620
Mailing address
11232 WOODMAR LN NE, ALBUQUERQUE, NM 87111-6509
(505) 290-8620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0772
NM
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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