Individual
CARRIE JOY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
1680 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 778-3950
(928) 778-3999
Mailing address
3120 MONTANA DR, PRESCOTT, AZ 86301-4626
(928) 778-2274
(928) 778-2274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0844
AZ
Other
Enumeration date
05/11/2006
Last updated
11/14/2014
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