Individual
MRS. ANGELINA R MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMF
Contact information
Practice address
1679 E MAIN ST STE 102, EL CAJON, CA 92021-5212
(760) 637-4455
Mailing address
1679 E MAIN ST STE 102, EL CAJON, CA 92021-5212
(619) 441-1907
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102996
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/12/2016
Last updated
11/15/2017
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