Individual
MIRANDA JOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N9548 HIGHWAY 42, CLEVELAND, WI 53015-1628
(920) 946-6844
Mailing address
N9548 HIGHWAY 42, CLEVELAND, WI 53015-1628
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
244909
WI
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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