Individual
MS. GENEVIEVE BETIS MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 967-5158
Mailing address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 967-5158
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
804158
CA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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