Fred Miranda
Fred Miranda is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
4044 W Hadley StPhoenix, AZ 85009-5310
Phone: (602) 272-1213
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 3856 (AZ) |
|---|
Record details
| NPI number | 1669546610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 4044 W Hadley St, Phoenix, AZ 85009-5310 |
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