MARITZA DIONNE MIRANDA 08/29/8708

FAIRBANKS, AK
NPI1326603127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-05-07
Last Update Date2020-03-06
Business Address
MARITZA DIONNE MIRANDA 08/29/8708
542 4TH AVE STE B101
FAIRBANKS, AK 99701-4707
Phone number: 907-374-1097
Mailing Address
MARITZA DIONNE MIRANDA 08/29/8708
542 4TH AVE STE B101
FAIRBANKS, AK 99701-4707
Phone number: 907-374-1097