Individual
MIRANDA NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
409 DORRANCE ST, ELLIS, KS 67637-2010
(785) 829-0008
Mailing address
409 DORRANCE ST, ELLIS, KS 67637-2010
(785) 829-0008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023352
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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