Individual
MIRANDA GRACE HOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 S SARE RD APT 908, BLOOMINGTON, IN 47401-8012
(260) 467-3471
Mailing address
3400 S SARE RD APT 908, BLOOMINGTON, IN 47401-8012
(260) 467-3471
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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