Individual
KRISTA LYNN MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
473 S 1100 W, FARMINGTON, UT 84025-5003
(801) 923-8806
Mailing address
473 S 1100 W, FARMINGTON, UT 84025-5003
(801) 923-8806
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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