MIRANDA SUSIE ROSE

SACRAMENTO, CA
NPI1568134476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41809)
Enumeration Date2021-09-29
Last Update Date2021-09-29
Business Address
MIRANDA SUSIE ROSE
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820-4520
Phone number: 916-379-5876
Mailing Address
MIRANDA SUSIE ROSE
18225 HALE AVE
MORGAN HILL, CA 95037-3547
Phone number: 916-892-6024
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