Individual
MIRANDA MCCARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N 8TH AVE, WAUSAU, WI 54401-4318
(715) 348-9988
Mailing address
111 N 8TH AVE, WAUSAU, WI 54401-4318
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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