Individual
MS. MIRANDA KATE BEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
448 E 1ST ST, SALIDA, CO 81201-2804
(719) 530-2293
(719) 530-2232
Mailing address
PO BOX 616, PONCHA SPRINGS, CO 81242-0616
(719) 530-2293
(719) 530-2232
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00934419
NE
Other
Enumeration date
09/16/2006
Last updated
04/23/2010
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