STEVEN MIRANDA

IDAHO FALLS, ID
NPI1679951545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN-45963)
Enumeration Date2015-05-12
Last Update Date2015-05-12
Business Address
-- STEVEN MIRANDA LPN
1471 MOUNTAIN VIEW LN APT 4
IDAHO FALLS, ID 83402-1861
Phone number: 707-391-0538
Mailing Address
-- STEVEN MIRANDA LPN
1471 MOUNTAIN VIEW LN APT 4
IDAHO FALLS, ID 83402-1861
Phone number: 707-391-0538
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