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Jordan L Miranda
Student in an Organized Health Care Education/Training Program in Bergenfield, New Jersey
NPI 1568902013

Jordan L Miranda is a Student in an Organized Health Care Education/Training Program based in Bergenfield, NJ. Jordan L Miranda practices in Bergenfield, NJ. The NPI Number for Jordan L Miranda is 1568902013 and holds a License No. (New Jersey).

The current practice location address for Jordan L Miranda is 51 Sylvamdur Ave, Bergenfield, NJ and can be reached out via phone at 201-562-6634.

Location: 51 Sylvamdur Ave, Bergenfield, NJ, 07621-4015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568902013
Provider Name
Jordan L Miranda
Credential
Provider Entity Type
Individual
Gender
Male
Address
51 Sylvamdur Ave, Bergenfield, NJ, 07621-4015
Phone Number
201-562-6634
Fax Number
Provider Enumeration Date
03/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 Sylvamdur Ave
City
Bergenfield
State
New Jersey
Zip
07621-4015
Phone Number
201-562-6634
Fax Number
person
Provider Business Mailing Address Details
Address
51 Sylvamdur Ave
City
Bergenfield
State
New Jersey
Zip
07621-4015
Phone Number
201-562-6634
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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