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Individual

JESEDH NUNEZ MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HOSPITAL CORPSMAN

Contact information

Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
3696 ARGONNE ST, SAN DIEGO, CA 92117-1011
(787) 525-2826

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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