Individual
MS. EVELYN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. MILITAR 2916, ISABELA, PR 00662
(787) 830-3189
(787) 830-1573
Mailing address
PO BOX 1149, ISABELA, PR 00662
(787) 872-8929
(787) 830-1573
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3857
PR
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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