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Individual

MS. MIRIAM MONA GAFFER FERREIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2828 TELEGRAPH AVE, BERKELEY, CA 94705-1119
(510) 848-8404
(510) 848-6312
Mailing address
28094 PETRINA CT, HAYWARD, CA 94545-4968
(510) 783-5978
(510) 783-5978

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20883
CA

Other

Enumeration date
03/12/2010
Last updated
03/12/2010
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