Individual
FABIAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 LAWRENCE EXPY DEPT 282, SANTA CLARA, CA 95051-5173
(408) 851-2558
Mailing address
710 LAWRENCE EXPY DEPT 282, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
31768
CA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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