NPI Registry.org

Jacqueline Miranda

NPI Registration Record

Provider / OrganizationNPIDate Certified
JACQUELINE MIRANDA18812967472020-11-14
Entity TypeIndividual
Provider Name Jacqueline Miranda
Practice Office Address520 NORTH DR
UPPER SANDUSKY, OH US
Practice Office Telephone4192940321
Mailing Address520 NORTH DR
UPPER SANDUSKY, OH 433519033 US
Business Telephone4192940321
Contact Endpoints
personal email for OH DODD Independent Provider [][email protected]Other Informational
HPT Codes
CodeLicense NoState
3747P1801X
376J00000X PRIMARY
OPI Codes
0248420 OTHER OH ODJFS MEDICAID

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