Individual
MIRANDA BETH SOCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA/CNA2
Contact information
Practice address
21602 SE ALDER ST, GRESHAM, OR 97030-2435
(541) 870-0489
Mailing address
21602 SE ALDER ST, GRESHAM, OR 97030-2435
(541) 870-0489
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201011355CNA
OR
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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