Individual
CANDY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
598 S 2ND ST APT D, ALHAMBRA, CA 91801-3721
(323) 492-8581
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95006976
CA
Other
Enumeration date
09/27/2017
Last updated
11/21/2022
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