MIRANDA AFIDAYI USONGO

LONG BEACH, CA
NPI1295222990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008106)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
MIRANDA AFIDAYI USONGO
904 E PACIFIC COAST HWY
LONG BEACH, CA 90806-5626
Phone number: 562-444-0022
Mailing Address
MIRANDA AFIDAYI USONGO
118 PROSPECT AVE APT 3
LONG BEACH, CA 90803-3024
Phone number: