Individual
MARY GRACE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1196 VIA NOMI, HENDERSON, NV 89052-0528
(702) 800-1820
Mailing address
1196 VIA NOMI, HENDERSON, NV 89052-0528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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