Individual
MIRIAM KIRORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 EAST BLVD APT 2A, ELKHART, IN 46514-2483
(574) 523-3334
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112080
IL
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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