Gregg, Mavixen Miranda

Gregg, Mavixen Miranda is an individual health care provider with primary practice located at 7025 El Camino Real , Atascadero CA 93422-4523. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gregg, Mavixen Miranda can be contacted via phone (805) 466-8722.

Contact Information

Primary practice address
7025 El Camino Real Atascadero CA 93422-4523
Phone: (805) 466-8722
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 59230 California

Profile Details

NPI number 1750676805
LBN Legal business name Gregg, Mavixen Miranda
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 14 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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