ANTONI A MIRANDA

LAKE ELSINORE, CA
NPI1013775766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-07
Last Update Date2024-03-07
Business Address
ANTONI A MIRANDA CHW
31739 RIVERSIDE DR STE A1
LAKE ELSINORE, CA 92530-7818
Phone number: 951-245-0505
Mailing Address
ANTONI A MIRANDA CHW
31739 RIVERSIDE DR
LAKE ELSINORE, CA 92530-7818
Phone number: 951-245-0506
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