Individual
RUTH ALICIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPPD, RDN, LD
Contact information
Practice address
5625 WOODROW BEAN STE 117, EL PASO, TX 79924-4125
(915) 243-2370
Mailing address
722 EL PASEO DR, CHAPARRAL, NM 88081-7517
(915) 243-2370
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
11/17/2021
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