FRED MIRANDA

PHOENIX, AZ
NPI1669546610
Other NameHELEN MIRANDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ  3856)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- FRED MIRANDA
4044 W HADLEY ST
PHOENIX, AZ 85009-5310
Phone number: 602-272-1213
Mailing Address
-- FRED MIRANDA
4044 W HADLEY ST
PHOENIX, AZ 85009-5310
Phone number: 602-272-1213