Individual
MARJEREEN MIRABUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 MIGNOT LN, SAN JOSE, CA 95111-2417
(650) 814-0720
Mailing address
459 MIGNOT LN, SAN JOSE, CA 95111-2417
(650) 814-0720
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12609
CA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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