Clive Miranda
Clive Miranda is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (602) 812-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1699304352 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2020 |
| Last updated in NPPES | April 5, 2020 |
| Certification date | April 5, 2020 |
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