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Mrs. Mira Goodman
Specialist in South San Francisco, California
NPI 1093157141

Mira Goodman is a Specialist based in San Francisco, CA. Mira Goodman practices in South San Francisco, CA. The NPI Number for Mira Goodman is 1093157141 and holds a License No. 13421 (California).

The current practice location address for Mira Goodman is 1200 El Camino Real, South San Francisco, CA and can be reached out via phone at 408-506-8861.

Location: 1200 El Camino Real, South San Francisco, CA, 94110-3013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093157141
Provider Name
Mira Goodman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 El Camino Real, South San Francisco, CA, 94110-3013
Phone Number
408-506-8861
Fax Number
Provider Enumeration Date
07/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 El Camino Real
City
South San Francisco
State
California
Zip
94080-3208
Phone Number
408-506-8861
Fax Number
person
Provider Business Mailing Address Details
Address
1200 El Camino Real
City
South San Francisco
State
California
Zip
94080-3208
Phone Number
408-506-8861
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
13421 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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