Individual provider · Type 1 NPI

Miranda Leigha Martinez-Moad, DO

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1699479089 Active

Practice location

17234 Valley Blvd.
Fontana, CA 92335

Call (909) 427-5084 Map

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 1699479089

Miranda Leigha Martinez-Moad, DO's National Provider Identifier is 1699479089, issued on Mar 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Sep 29, 2023.