KRYSTAL MARIE MIRANDA

SAN DIEGO, CA
NPI1093377749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
KRYSTAL MARIE MIRANDA IDC
14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 619-532-7968
Mailing Address
KRYSTAL MARIE MIRANDA IDC
14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: