NPI 1407318710

Miranda Richmond

Practitioner Case Management Agency Willoughby, OH

Practice location

Address: 38882 Mentor Ave, Willoughby, OH 44094-7875
Phone: (440) 953-9999

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1407318710
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2019
Record last updated: 4 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.