Individual
MR. JULIO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6445 RISING SUN AVE, PHILA, PA 19111-5228
(215) 742-3247
Mailing address
6445 RISING SUN AVE, PHILA, PA 19111-5228
(215) 742-3247
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN348906L
PA
163WH0200X
Home Health Registered Nurse
Primary
RN348906L
PA
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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