Individual
SANTANA PATRICIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN L#0001310361
Contact information
Practice address
18318 WOODLAND DR, TRIANGLE, VA 22172-1312
(571) 250-9354
Mailing address
8312 SHADY GROVE CIR, MANASSAS, VA 20110-4680
(571) 250-9354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001310361
VA
Other
Enumeration date
05/13/2024
Last updated
06/08/2024
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