Individual
MR. ALEX RICHARD MIRANDA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 BELMONT AVE, YOUNGSTOWN, OH 44502-1037
(330) 744-2991
Mailing address
611 BELMONT AVE, YOUNGSTOWN, OH 44502-1037
(330) 744-2991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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