Individual
YVONNE MIRANDA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 S M ST, OXNARD, CA 93033-4316
(805) 487-8260
Mailing address
2320 S M ST, OXNARD, CA 93033-4316
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24956
CA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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