Individual
KIMY JOAN MIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
8072 N MILLBROOK AVE APT 263, FRESNO, CA 93720-2295
(408) 807-7247
Mailing address
8072 N MILLBROOK AVE APT 263, FRESNO, CA 93720-2295
(408) 807-7247
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95085159
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
147576
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
03/03/2025
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