Miranda, Krystal Marie

Miranda, Krystal Marie is an individual health care provider with primary practice located at 14, 34101 Farenholt Ave , San Diego CA 92134-0001. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Miranda, Krystal Marie can be contacted via phone (619) 532-7968.

Contact Information

Primary practice address
14, 34101 Farenholt Ave San Diego CA 92134-0001
Phone: (619) 532-7968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1093377749
LBN Legal business name Miranda, Krystal Marie
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Jul 2nd, 2019 - about 5 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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