Individual
DANIELLE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6290
Mailing address
530 FAIRVIEW DR, PLACERVILLE, CA 95667-4315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
843814
CA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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