Individual
DAVE TOLENTINO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 227-3900
Mailing address
2968 VISTA GRANDE, FAIRFIELD, CA 94534-1742
(707) 580-1758
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN744125
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/17/2024
Last updated
09/23/2025
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