MIRANDA WALENTA

ALBUQUERQUE, NM
NPI1104955764
Former NameMIRANDA HEETER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  2183)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
-- MIRANDA WALENTA
4216 BALLOON PARK RD NE
ALBUQUERQUE, NM 87109-5801
Phone number: 505-344-5470
Mailing Address
-- MIRANDA WALENTA
2385 CAMINO PINTORES
SANTA FE, NM 87505-5290
Phone number: 505-730-9514
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