Individual
MIRANDA D SAUCEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 WEST STURDIVANT, ADVANCE, MO 63730-0137
(573) 722-9191
(573) 722-9393
Mailing address
502 WEST STURDIVANT, PO BOX 137, ADVANCE, MO 63730-0137
(573) 722-9191
(573) 722-9393
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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