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Individual
MARILU MIRANDA HERNANDEZ
Active
Individual
MARILU MIRANDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
NV
Enumeration date
02/14/2018
Last updated
12/11/2020
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