Individual
YAOSKA BRASILIA MIRANDA-ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17903 W LAKE HOUSTON PKWY STE 101, ATASCOCITA, TX 77346-3954
(215) 570-6856
Mailing address
17903 W LAKE HOUSTON PKWY STE 101, ATASCOCITA, TX 77346-3954
(215) 570-6856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9128
GA
363AM0700X
Medical Physician Assistant
Primary
PA13247
TX
Other
Enumeration date
02/25/2019
Last updated
06/15/2022
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