Individual
ALEXIA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 E 8TH ST, TULSA, OK 74104-3311
(918) 829-4949
Mailing address
2415 E 8TH ST, TULSA, OK 74104-3311
(918) 829-4949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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