Individual
SANDRA JEANNE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 SPRING BARS RD, FALMOUTH, MA 02540-3923
(508) 360-7546
Mailing address
107 SPRING BARS RD, FALMOUTH, MA 02540-3923
(508) 360-7546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12200
MA
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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