Individual
MS. MIRANDA M RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 E G ST APT 209, ONTARIO, CA 91764-4440
(424) 219-3741
Mailing address
1643 E G ST APT 209, ONTARIO, CA 91764-4440
(424) 219-3741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/16/2024
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