Individual
JAY DIMACULANGAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-3434
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-3434
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
111485
CA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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