Moll Lee, Kimberly Mae Miranda

Moll Lee, Kimberly Mae Miranda is an sole proprietor health care provider with primary practice located at 167 N Main St , Tuba City AZ 86045. She recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is her primary health care specialty. Moll Lee, Kimberly Mae Miranda can be contacted via phone (928) 283-2754.

Contact Information

Primary practice address
167 N Main St Tuba City AZ 86045
Phone: (928) 283-2754
Fax: (928) 283-2758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X California
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1780331231
LBN Legal business name Moll Lee, Kimberly Mae Miranda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2022
Last updated Jun 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers