Individual
WINELLEN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 HIDDEN TRAIL RD SE, SMYRNA, GA 30082-2441
(631) 546-8595
Mailing address
3328 HIDDEN TRAIL RD SE, SMYRNA, GA 30082-2441
(631) 546-8595
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
26NR17818000
NJ
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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