Individual
MIRANDA PATRICE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8085 BIRCH ST, TAYLOR, MI 48180-2309
(313) 523-1154
Mailing address
21592 SPRINGHILL ST, ROMULUS, MI 48174-9454
(313) 523-1154
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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