WILFRED MIRANDA

SAN FRANCISCO, CA
NPI1124305289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Aii054490418)
Enumeration Date2011-11-03
Last Update Date2020-02-12
Business Address
WILFRED MIRANDA CCAPP
1326 4TH AVE
SAN FRANCISCO, CA 94122-2616
Phone number: 415-682-2080
Mailing Address
WILFRED MIRANDA CCAPP
1326 4TH AVE
SAN FRANCISCO, CA 94122-2616
Phone number: 415-682-2080