Crystal Miran P.A.-C

NPI 1598996019 - Physician Assistant - 363A00000X

NPI Details
NPI 1598996019
Gender Female
Enumeration Date 07/31/2009
Last Updated 07/31/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3901 LONE TREE WAY
ANTIOCH CA, 94509-6200, US
Phone (925) 779-7200
Fax (925) 779-7281
Business Location
2100 POWELL ST
SUITE 900
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2600
Fax (510) 879-9100
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20372
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According to our database, Crystal Miran P.A.-C NPI is 1598996019, taxonomy code is 363A00000X and license number is PA20372, license state is located at California. Crystal Miran P.A.-C physically located at 3901 Lone Tree Way, Antioch CA, 94509-6200. NPI Number Crystal Miran P.A.-C has the Individual type.

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1598996019 NPI number is provided on an as is basis without warranty of any kind. 1598996019 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Miran P.A.-C are for informational purposes only.