Individual
DEE JAY NERY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 IRON POINT RD, FOLSOM, CA 95630-8707
(916) 817-5463
Mailing address
2155 IRON POINT RD, FOLSOM, CA 95630-8707
(916) 817-5463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40990
TN
208000000X
Pediatrics Physician
Primary
A101360
CA
Other
Enumeration date
07/03/2006
Last updated
12/13/2021
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