LAURA MIRANDA

POMONA, CA
NPI1437897741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1417740121)
Enumeration Date2022-05-25
Last Update Date2023-03-30
Business Address
LAURA MIRANDA RADT
1050 N GAREY AVE
POMONA, CA 91767-3802
Phone number: 909-623-6391
Mailing Address
LAURA MIRANDA RADT
931 CANDY DR
CORONA, CA 92878-7711
Phone number: 714-873-8284