Boisclair, Miranda Diane

Boisclair, Miranda Diane is an individual health care provider with primary practice located at 11301 Wilshire Blvd Bldg 500 , Los Angeles CA 90073-1003. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Boisclair, Miranda Diane can be contacted via phone (310) 362-0179.

Contact Information

Primary practice address
11301 Wilshire Blvd Bldg 500 Los Angeles CA 90073-1003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 011439 South Carolina

Profile Details

NPI number 1619053154
LBN Legal business name Boisclair, Miranda Diane
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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