Christian Erin Faulkenberry Miranda M.D.

NPI 1104028406 - Pediatrics - 208000000X

NPI Details
NPI 1104028406
Gender Female
Enumeration Date 05/31/2007
Last Updated 06/10/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
290 N WAYTE LN
FRESNO CA, 93701-2124, US
Phone (559) 459-4300
Fax (559) 459-4569
Business Location
2625 E DIVISADERO ST
FRESNO CA, 93721-1431, US
Phone (559) 443-2682
Fax (559) 443-2681
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A95426
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According to our database, Christian Erin Faulkenberry Miranda M.D. NPI is 1104028406, taxonomy code is 208000000X and license number is A95426, license state is located at California. Christian Erin Faulkenberry Miranda M.D. physically located at 290 N Wayte Ln, Fresno CA, 93701-2124. NPI Number Christian Erin Faulkenberry Miranda M.D. has the Individual type.

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1104028406 NPI number is provided on an as is basis without warranty of any kind. 1104028406 is maintained by the National Plan & Provider Enumeration System. The contents of Christian Erin Faulkenberry Miranda M.D. are for informational purposes only.