Individual
BRANDON MICHAEL MIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12052 IMPERIAL HWY # 204, NORWALK, CA 90650-3090
(310) 892-5812
Mailing address
12873 PUEBLO LN, VICTORVILLE, CA 92392-7931
(760) 887-2605
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7452
CA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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