Individual
MIRANDA LENN-MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3010 N CIRCLE DR STE 100, COLORADO SPRINGS, CO 80909-1174
(720) 590-9629
Mailing address
4317 HESSITE LOOP, COLORADO SPRINGS, CO 80938-9602
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0002598
CO
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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