Jillian Rose Miranda, RD, LD

NPI #1730527383 in Independence, Missouri

Provider Information

NPI Number: 1730527383
Entity Type: Individual
Name: Jillian Rose Miranda, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Jun 5, 2013
Last Updated: Aug 18, 2018

Practice Location

Address: 1525 E 23RD ST S
City: Independence
State: Missouri
ZIP Code: 64055
Phone: (816) 836-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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