MIRANDA WALLACE
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1164134094
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1164134094 is the National Provider Identifier for MIRANDA WALLACE, a Student in an Organized Health Care Education/Training Program provider located in Hurricane, UT. This NPI was enumerated on December 22, 2022.
MIRANDA WALLACE practices at 4 S 2600 W STE 6, Hurricane, UT 84737.
Quick Facts
- NPI
- 1164134094
- Type
- Individual
- Enumerated
- Dec 22, 2022
- Last Updated
- Dec 22, 2022
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