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Individual

MISS MIRIAN ANTONIA SOBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 W MANCHESTER BLVD RM 231B, INGLEWOOD, CA 90301-1753
(310) 419-5308
(310) 330-7010
Mailing address
123 W MANCHESTER BLVD RM 231B, INGLEWOOD, CA 90301-1753
(310) 419-5308
(310) 330-7010

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
509171
CA

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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