Individual
DONNA MARIE MIRAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
319 SOUND BEACH BLVD, SOUND BEACH, NY 11789-1239
(631) 744-6378
Mailing address
319 SOUND BEACH BLVD, SOUND BEACH, NY 11789-1239
(631) 744-6378
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
227064-1
NY
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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