Miranda D Sauceda

NPI #1952582223 in Advance, Missouri

Provider Information

NPI Number: 1952582223
Entity Type: Individual
Name: Miranda D Sauceda
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Nov 15, 2007
Last Updated: Nov 15, 2007

Practice Location

Address: 502 WEST STURDIVANT
City: Advance
State: Missouri
ZIP Code: 63730-0137
Phone: (573) 722-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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