Individual provider · Type 1 NPI

Clive Miranda

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1699304352 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 812-3130 Map

Mailing address

4001 N 3rd St Ste 290
Phoenix, AZ 85012-2071

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699304352

Clive Miranda's National Provider Identifier is 1699304352, issued on Apr 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 5, 2020.