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Individual

DR. JAMES TIMOTHY MIERSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10251 HACIENDA ST, BELLFLOWER, CA 90706-6707
(562) 495-0610
Mailing address
10251 HACIENDA ST, BELLFLOWER, CA 90706-6707
(562) 495-0610

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20669
CA

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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