Individual
MRS. EDNA LIZETH MIRALDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHI
Contact information
Practice address
738 5TH AVE N, KENT, WA 98032-3007
(408) 856-5578
Mailing address
PO BOX 1655, KENT, WA 98035-1655
(408) 856-5578
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC53549
WA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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