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Individual
MIRANDA LISA ZITO
Active
Individual
MIRANDA LISA ZITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, EMT
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
1032565
PA
2255A2300X
Athletic Trainer
Primary
RTO000567
PA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/05/2021
Last updated
12/18/2023
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