Individual
MIRANDA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 541-1758
Mailing address
5051 W 5TH ST, BROOKLYN HEIGHTS, OH 44131-1101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APP-000877019RX
OH
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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