Individual
ALFAYO MICHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2760 3RD ST, CERES, CA 95307-3235
(866) 682-4842
(866) 234-5550
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(866) 682-4842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
488425
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
06/26/2020
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