Individual
MISS ROSA MARIA JAVIER MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.,
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8570
Mailing address
15740 OLIVER ST, MORENO VALLEY, CA 92555-4908
(951) 242-2106
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
374694
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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