Individual
MISS HAZEL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
101 N ZANG BLVD, DALLAS, TX 75208-4528
(214) 948-2437
Mailing address
9731 LARGA DR, DALLAS, TX 75220-1744
(214) 948-2437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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