Individual
ADRIAN G MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BMS
Contact information
Practice address
300 EAST FIRST, PORTALES, NM 88130
(575) 359-1221
(575) 359-1075
Mailing address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2009
Last updated
09/09/2016
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