Miranda, Jermyn Douglas

Miranda, Jermyn Douglas is an sole proprietor health care provider with primary practice located at 1503 Grant Rd Ste 110 , Mountain View CA 94040-3270. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Miranda, Jermyn Douglas can be contacted via phone (650) 484-1213.

Contact Information

Primary practice address
1503 Grant Rd Ste 110 Mountain View CA 94040-3270
Phone: (650) 484-1213
Fax: (408) 642-6052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1689032419
LBN Legal business name Miranda, Jermyn Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2016
Last updated Aug 18th, 2023 - about last year

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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