Search › California › 106H00000X
Jacqueline Miranda
NPI 1629425053 · on the registry since 2016 · sole proprietor
Practice
- Address
- 21250 Box Springs Rd Ste 212
Moreno Valley, CA 92557 - Phone
- (951) 686-1096
- Organisation at this address
- Family Service Association
Family Service Association
Psychological And Substance Abuse Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California