Individual provider · Type 1 NPI

Mary Miranda, CPHT

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

NPI number 1861288581 Active

Practice location

1321 Stine Rd
Bakersfield, CA 93309-4176

Call (661) 619-4088 Map

Mailing address

12620 Maclure Dr
Bakersfield, CA 93311-8671

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
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 1861288581

Mary Miranda, CPHT's National Provider Identifier is 1861288581, issued on Apr 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Apr 18, 2025.