Individual
BAMBI MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2672 STAMFORD ROW, SOUTH SAN FRANCISCO, CA 94080-3862
(650) 892-8689
Mailing address
2672 STAMFORD ROW, SOUTH SAN FRANCISCO, CA 94080-3862
(650) 892-8689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10014
CA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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