Individual
MIRANDA ROSE CINTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
194 BRATTON LOOP, MOREHEAD, KY 40351-7704
(917) 304-1838
Mailing address
53 ACADEMY LN, LEVITTOWN, NY 11756-2630
(917) 304-1838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2018
Last updated
07/13/2020
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