Individual
ALICE ELIZABETH MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
11870 PIERCE ST STE 150, RIVERSIDE, CA 92505-6600
(951) 808-5850
Mailing address
1228 KELLEY AVE, CORONA, CA 92882-4206
(951) 847-4517
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7993
CA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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