Individual
DALIA JANETTE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 PARK HAVEN LN, SUMMERVILLE, SC 29485-9325
(805) 915-8521
Mailing address
5030 PARK HAVEN LN, SUMMERVILLE, SC 29485-9325
(805) 915-8521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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