Individual
TAYLOR ANN MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
30 ACOMA BLVD S, LAKE HAVASU CITY, AZ 86403-5957
(928) 680-9500
Mailing address
2875 BLUEWATER DR, LAKE HAVASU CITY, AZ 86403-5311
(661) 547-0642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9427
AZ
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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