Antoni A Miranda, CHW
Antoni A Miranda, CHW is a Community Health Worker in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
31739 Riverside Dr Ste A1Lake Elsinore, CA 92530-7818
Phone: (951) 245-0505
Fax: (951) 245-0999
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (CA) |
|---|
Record details
| NPI number | 1013775766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CHW |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2024 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
| Mailing address | 31739 Riverside Dr, Lake Elsinore, CA 92530-7818 |
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