Individual
DAWN E MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1931 WALKER RD, CAMDEN, NY 13316-4729
(315) 571-4028
Mailing address
1931WALKER ROAD, CAMDEN, NY 13316
(315) 571-4028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
213192-1
NY
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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