Individual
MIRANDA LEA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
(251) 375-0131
Mailing address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
APPLYING
AL
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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