Individual
DEBRA LEIGH MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
VA00021259
Contact information
Practice address
3625 148TH ST SW STE B, LYNNWOOD, WA 98087-5577
(425) 742-1120
Mailing address
16107 54TH PL W, EDMONDS, WA 98026-4741
(425) 256-1735
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA0002129
WA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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