Individual
FRANKLIN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
55 N WOLFE AVE, EDWARDS, CA 93524-6201
(661) 277-1130
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3001
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
11/25/2014
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