JOSE L MIRANDA

POMONA, CA
NPI1790094647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-09-27
Last Update Date2012-10-24
Business Address
-- JOSE L MIRANDA
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207
Mailing Address
-- JOSE L MIRANDA
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207