Individual
JACQUELINE MARIE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3832 WALLINGS RD, NORTH ROYALTON, OH 44133-3106
(440) 823-6581
Mailing address
3832 WALLINGS RD, NORTH ROYALTON, OH 44133-3106
(440) 823-6581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN287032
OH
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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