Individual
NATALIE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST # STREET1, BOSTON, MA 02114-2696
(617) 643-0045
(617) 726-7415
Mailing address
35 HENSHAW ST, BRIGHTON, MA 02135-2927
(860) 483-1633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7781
MA
Other
Enumeration date
08/31/2020
Last updated
01/28/2021
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