LISA M MIRANDA

ROSEVILLE, CA
NPI1144314766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15570)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: TN  PA1051)
Enumeration Date2006-10-03
Last Update Date2019-03-06
Business Address
Mrs. LISA M MIRANDA P.A.-C
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Phone number: 916-865-1140
Mailing Address
Mrs. LISA M MIRANDA P.A.-C
10470 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071