Individual
MARIELA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8661 S HOWELL AVE STE 200, OAK CREEK, WI 53154-2919
(414) 847-0164
Mailing address
8661 S HOWELL AVE STE 200, OAK CREEK, WI 53154-2919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3998-35
WI
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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