MIRANDA C HALEY

SANTA ROSA, NM
NPI1326334814
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2014-0107)
Enumeration Date2011-06-22
Last Update Date2019-08-13
Business Address
MIRANDA C HALEY M.D.
117 CAMINO DE VIDA SUITE 300
SANTA ROSA, NM 88435-2267
Phone number: 575-472-4311
Mailing Address
MIRANDA C HALEY M.D.
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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