Individual
MIRANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC, NCLEC, FL LDO
Contact information
Practice address
601 N LINCOLN RD, ESCANABA, MI 49829-1426
(906) 786-2466
(906) 786-9174
Mailing address
1446 SHORE DR, MARINETTE, WI 54143-3508
(904) 548-7841
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7031
FL
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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