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Individual

ELISABETH MIRAMONTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
1035 S FAIR OAKS AVE STE 102, PASADENA, CA 91105-2654
(626) 403-8174
Mailing address
1035 S FAIR OAKS AVE STE 102, PASADENA, CA 91105-2654
(626) 403-8174

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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