Individual
MIRANDA HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
1575 7TH AVE, SAN FRANCISCO, CA 94122-3704
(877) 366-2580
Mailing address
1630 PIEDMONT PL, CARROLLTON, TX 75007-5084
(318) 537-3975
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2444
CA
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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