Individual
MIRANDA HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10619 ANTLER TOOL RD SW, ALBUQUERQUE, NM 87121-5433
(505) 313-9845
Mailing address
10619 ANTLER TOOL RD SW, ALBUQUERQUE, NM 87121-5433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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