Individual provider · Type 1 NPI

Miranda Black, L.AC.

Acupuncturist · Grants Pass, OR

NPI number 1902049554 Active

About NPI 1902049554

Miranda Black, L.AC.'s National Provider Identifier is 1902049554, issued on Apr 13, 2009. The primary taxonomy on file is Acupuncturist (171100000X), and the practice location is in Grants Pass, OR. The record was last updated on Jun 13, 2013.