Individual
MIRIAM UC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 DATA DR STE 400, RANCHO CORDOVA, CA 95670-7341
(916) 564-5010
Mailing address
3320 DATA DR STE 400, RANCHO CORDOVA, CA 95670-7341
(916) 564-5010
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5607
CA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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