Individual
ALEJANDRO DE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8000
Mailing address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210002127
CA
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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