Individual
MIRANDA GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 US ROUTE 35 E, WEST ALEXANDRIA, OH 45381-9501
(937) 716-4571
Mailing address
6325 US ROUTE 35 E, WEST ALEXANDRIA, OH 45381-9501
(937) 716-4571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/21/2023
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