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Individual

BETHEL ROBA MIESO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2441 MISSION COLLEGE BLVD, SANTA CLARA, CA 95054-1214
(800) 478-8837
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
195058
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2021
Last updated
04/15/2026
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