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Miranda Goodman, IDC
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1528788213

Miranda Goodman is a Student in an Organized Health Care Education/Training Program based in Chula Vista, CA. Miranda Goodman practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Miranda Goodman is 1528788213 and holds a License No. (California).

The current practice location address for Miranda Goodman is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 91910-3927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528788213
Provider Name
Miranda Goodman
Credential
IDC
Provider Entity Type
Individual
Gender
Female
Address
34101 Farenholt Ave Bldg 14, San Diego, CA, 91910-3927
Phone Number
619-532-7968
Fax Number
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave Bldg 14
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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