Individual
DR. GANGAW MIRANDA ZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-3076
Mailing address
PO BOX 5000, COALINGA, CA 93210-5000
(559) 934-3076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 22710
CA
Other
Enumeration date
11/03/2009
Last updated
11/05/2009
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