Individual
HAZEL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 CABEZON BLVD SE, RIO RANCHO, NM 87124-1576
(505) 717-1155
Mailing address
6001 WHITEMAN DR NW, ALBUQUERQUE, NM 87120-2196
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2019
Last updated
05/09/2025
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