Individual
ANDREA L MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14 ALLEYNE ST, QUINCY, MA 02169-2016
(617) 763-6212
Mailing address
14 ALLEYNE ST, QUINCY, MA 02169-2016
(617) 763-6212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2794
MA
Other
Enumeration date
09/24/2010
Last updated
07/21/2015
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