Individual
CRYSTAL MIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 779-7200
(925) 779-7281
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20372
CA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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