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Individual

ASHTON MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 11TH AVE S STE 155, NAMPA, ID 83651-3946
(208) 466-1077
Mailing address
6820 W CORONA ST, BOISE, ID 83709-8030

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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