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MARVI MIRANDA M.D.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1609265602

Individual Registrant:
 MARVI  MIRANDA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9696 STEPHENS ST  DELHI, CA 95315-9550 US
Tel: 209-667-0702  Fax: 209-667-6737

Contact information for business:
PO BOX 3768  MERCED, CA 95344-3768 US
Tel: 209-725-7149  Fax: 209-726-0134

Registration Information:
NPI: 1609265602
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
CA
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CAA143356

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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