Individual
MARVI MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9696 STEPHENS ST, DELHI, CA 95315-9550
(209) 667-0702
(209) 667-6737
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A143356
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/13/2015
Last updated
12/11/2020
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