Individual
MIRANDA J FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1700 132ND ST SE, SUITE L, MILL CREEK, WA 98012-5309
(425) 338-1555
(425) 338-0765
Mailing address
1700 132ND ST SE, SUITE L, MILL CREEK, WA 98012-5309
(425) 338-1555
(425) 338-0765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60203262
WA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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