MIRANDA TADEVICH

TRACY, CA
NPI1669107512
Former NameMIRANDA DOWNS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95029206)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CO  APN.0997765)
Enumeration Date2022-07-22
Last Update Date2024-05-20
Business Address
MIRANDA TADEVICH
445 W EATON AVE
TRACY, CA 95376-3420
Phone number: 209-830-4075
Mailing Address
MIRANDA TADEVICH
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 209-830-4075