Individual
DELCY M MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 OLIVER ST STE 209, NORTH EASTON, MA 02356-1446
(774) 223-0210
Mailing address
50 OLIVER ST STE 209, NORTH EASTON, MA 02356-1446
(774) 223-0210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-10000
MASSAGE THERAPIST LICENSE
MA
Enumeration date
07/19/2023
Last updated
07/19/2023
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