Organization
MIRO HEALTH
Active
Organization
MIRO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENLY GLENN (GENERAL MANAGER)
(415) 300-0533
Entity
Organization
Contact information
Practice address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(415) 300-0533
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(415) 300-0533
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
01/18/2024
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