Individual
DR. JORMAR ETHELDREDA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2070 CALLE COLINA, PONCE, PR 00730-4139
(787) 929-0901
Mailing address
2070 COLINA ST. URB. VALLE ALTO, PONCE, PR 00730-4139
(787) 929-0901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4565
PR
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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