MIRANDA SPAIN

TACOMA, WA
NPI1891260634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WY  734)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-10-08
Last Update Date2021-04-12
Business Address
MIRANDA SPAIN
9040 JACKSON AVE
TACOMA, WA 98431-1000
Phone number: 253-968-2820
Mailing Address
MIRANDA SPAIN
9040 JACKSON AVE
TACOMA, WA 98431-1000
Phone number: