Individual
MIRANDA IRENE MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-2730
(907) 277-1467
Mailing address
207 E NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-2730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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