Individual
MRS. MIRANDA LEAH AZBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2770 S MARYLAND PKWY, 211, LAS VEGAS, NV 89109-1554
(702) 530-6117
Mailing address
6166 MEADOW VIEW LN, LAS VEGAS, NV 89103-1126
(702) 772-8582
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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