Individual
MIRANDA L MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6029 WALNUT GROVE RD STE 401, MEMPHIS, TN 38120-2112
(901) 747-3066
(901) 747-2966
Mailing address
6029 WALNUT GROVE RD STE 401, MEMPHIS, TN 38120-2112
(901) 747-3066
(901) 747-2966
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
3803
TN
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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