Individual
MRS. COREEN ELIZABETH MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
687 TAMARACK LN, LEMOORE, CA 93245-2062
(559) 925-8359
Mailing address
687 TAMARACK LANE, LEMOORE, CA 93245
(559) 925-8359
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN221654
CA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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