Individual
SERVANDO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 MORTON AVE, AURORA, IL 60506-2805
(630) 618-9916
Mailing address
619 MORTON AVE, AURORA, IL 60506-2805
(630) 618-9916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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