Miranda Susie Rose
Miranda Susie Rose is a Licensed Psychiatric Technician in Sacramento, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
4612 Roosevelt AveSacramento, CA 95820-4520
Phone: (916) 379-5876
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 41809 (CA) |
|---|
Record details
| NPI number | 1568134476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 29, 2021 |
| Last updated in NPPES | September 29, 2021 |
| Certification date | September 29, 2021 |
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