Individual
YUDEY MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 CAPE CORAL PKWY E STE B, CAPE CORAL, FL 33904-9175
(239) 540-0012
Mailing address
1411 NE 1ST TER, CAPE CORAL, FL 33909-2662
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA 60698
FL
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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