Daniel Miranda
Specialist in Indio, CA. Individual provider (NPI-1).
NPI number1013323948
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1013323948
- Entity type
- Individual (NPI-1)
- Name
- Daniel Miranda
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2014
- Last updated
- Jul 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
47915 Oasis StIndio, CA 92201-6950
Phone 760-863-8600
Mailing address
85516 Brenda LnCoachella, CA 92236-3029
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