Individual
BERNADETTE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 NILLES RD, FAIRFIELD, OH 45014-2634
(513) 223-9689
Mailing address
511 NILLES RD STE D, FAIRFIELD, OH 45014-2634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.015840
OH
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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