DOMINIQUE NICOLE MIRANDA

CHULA VISTA, CA
NPI1376347609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  53473)
Enumeration Date2025-04-03
Last Update Date2025-04-03
Business Address
DOMINIQUE NICOLE MIRANDA PTA
2437 FENTON ST STE B
CHULA VISTA, CA 91914-3517
Phone number: 619-361-5409
Mailing Address
DOMINIQUE NICOLE MIRANDA PTA
5402 ROMEGA CT
BONITA, CA 91902-2122
Phone number:
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