MAINA MIRICHO

SAN JACINTO, CA
NPI1942731443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95006392)
Enumeration Date2017-03-26
Last Update Date2017-03-26
Business Address
Mr. MAINA MIRICHO NP
311 CUCKOO DR
SAN JACINTO, CA 92582-6986
Phone number: 949-887-0426
Mailing Address
Mr. MAINA MIRICHO NP
311 CUCKOO DR
SAN JACINTO, CA 92582-6986
Phone number: 949-887-0426
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