Jordan L Miranda

NPI #1568902013 in Bergenfield, New Jersey

Provider Information

NPI Number: 1568902013
Entity Type: Individual
Name: Jordan L Miranda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 2, 2017
Last Updated: Mar 2, 2017

Practice Location

Address: 51 SYLVAMDUR AVE
City: Bergenfield
State: New Jersey
ZIP Code: 07621-4015
Phone: (201) 562-6634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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