Individual
GUINNEVERE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 CARR 694, VEGA ALTA, PR 00692-9781
(787) 270-0460
(787) 270-0475
Mailing address
HC 5 BOX 9706, COROZAL, PR 00783-9656
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8197
PR
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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