Individual
CELIA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 THIRD AVE # 1110, CHULA VISTA, CA 91911-1300
(619) 934-5770
Mailing address
865 THIRD AVE # 1110, CHULA VISTA, CA 91911-1300
(619) 934-5770
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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