Individual
MYRANDA PAIGE MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BLACKSTONE VALLEY PL STE 306A, LINCOLN, RI 02865-1112
(401) 443-5252
Mailing address
209 RIVER RD, LINCOLN, RI 02865-2323
(401) 489-0787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01734
RI
Other
Enumeration date
08/19/2024
Last updated
08/26/2024
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