MRS. Miranda Dawn Antonio, A.A.
NPI #1104008432 in Tularosa, New Mexico
Provider Information
- NPI Number
- 1104008432
- Entity Type
- Individual
- Name
- MRS. Miranda Dawn Antonio, A.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- A.A.
- Enumeration Date
- Nov 28, 2007
- Last Updated
- Nov 28, 2007
Practice Location
- Address
- 253 PECOS RD
- City
- Tularosa
- State
- New Mexico
- ZIP Code
- 88352-9666
- Phone
- (505) 379-4838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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