Individual
MRS. MIRANDA J.M.K. LLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 PETTIGRU ST, GREENVILLE, SC 29601-3112
(864) 915-8109
Mailing address
311 PETTIGRU ST, GREENVILLE, SC 29601-3112
(864) 915-8109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
05/18/2015
Last updated
04/02/2024
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