Individual
CHANDA TE'NEIL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
301 N 1ST ST, ALTUS AFB, OK 73523-5004
(580) 481-5086
Mailing address
301 N 1ST ST, ALTUS AFB, OK 73523-5004
(580) 481-5086
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R0074062
OK
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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