Individual
MARTIN A MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 COURAGE DR STE E, FAIRFIELD, CA 94533-6715
(916) 364-8395
Mailing address
2333 COURAGE DR STE E, FAIRFIELD, CA 94533-6715
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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