Individual
MIRANDA KAPSALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 S MAIN ST, WAYNESBORO, TN 38485-2629
(931) 722-3644
Mailing address
405 2ND ST, LAWRENCEBURG, TN 38464-3419
(931) 762-9486
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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