Individual
IRENE MIRANDA-HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
797 WEST CHILDS AVENUE, MERCED, CA 95341
(209) 383-5871
(209) 383-5289
Mailing address
797 W. CHILDS AVENUE, MERCED, CA 95341
(209) 383-5871
(209) 383-5289
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
683287
CA
Other
Enumeration date
12/18/2007
Last updated
01/08/2008
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