Individual
MIRANDA GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 W MAIN ST, MERCED, CA 95340-4524
(209) 383-4859
Mailing address
20 RANCHO GRANDE CIR, ATWATER, CA 95301-4529
(209) 383-4859
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315989
CA
Other
Enumeration date
10/10/2024
Last updated
10/15/2024
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