Individual
CHRISTEL DIZON MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2110 PROFESSIONAL DR STE 120, ROSEVILLE, CA 95661-3779
(916) 536-2500
(916) 780-3904
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47390
KY
207Q00000X
Family Medicine Physician
Primary
C158757
CA
Other
Enumeration date
07/21/2011
Last updated
01/02/2019
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