NPI 1053617613
Miriam Seville, RDCSSD
Practice location
- Address
- 301 Fisher St Bldg 468, Keesler Afb, MS 39534-2508
- Phone
- (282) 376-5052
Registered specialties (2)
Registered Dietitian
Primary
Sports Dietetics Nutrition Registered Dietitian
Registry record
- NPI
- 1053617613
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Jan 2011
- Record last updated
- 11 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.