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Mr. Maina Miricho, NP
Psychiatric/Mental Health Nurse Practitioner in San Jacinto, California
NPI 1942731443

Maina Miricho is a Psychiatric/Mental Health Nurse Practitioner based in San Jacinto, CA and is specialized in Psychiatric/Mental Health. Maina Miricho practices in San Jacinto, CA and has the professional credentials of NP. The NPI Number for Maina Miricho is 1942731443 and holds a License No. 95006392 (California).

The current practice location address for Maina Miricho is 311 Cuckoo Dr, San Jacinto, CA and can be reached out via phone at 949-887-0426.

Location: 311 Cuckoo Dr, San Jacinto, CA, 92582-6986
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Provider Profile Details
NPI Number
1942731443
Provider Name
Maina Miricho
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
311 Cuckoo Dr, San Jacinto, CA, 92582-6986
Phone Number
949-887-0426
Fax Number
Provider Enumeration Date
03/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95006392 01 CA NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
311 Cuckoo Dr
City
State
Zip
92582-6986
Phone Number
949-887-0426
Fax Number
person
Provider Business Mailing Address Details
Address
311 Cuckoo Dr
City
State
Zip
92582-6986
Phone Number
949-887-0426
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95006392 (California)
Definition
Definition to come...
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