Individual
MRS. JEANNIE TERESA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BS
Contact information
Practice address
39 OLD MOUNTAIN ROAD, SPRING GLEN, NY 12483-0441
(845) 647-3142
(845) 647-3142
Mailing address
PO BOX 441, SPRING GLEN, NY 12483-0441
(845) 647-3142
(845) 647-3142
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
271920
NY
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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