Individual
MARTHA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 CUTTING BLVD, RICHMOND, CA 94804-2662
(510) 233-8513
Mailing address
4350 HILLVIEW DR, PITTSBURG, CA 94565-6026
(510) 712-8561
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
00250026
CA
376K00000X
Nurse's Aide
Primary
00826074
CA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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