Miranda Lo, PA-C

NPI #1851998165 in Yucaipa, California

Provider Information

NPI Number: 1851998165
Entity Type: Individual
Name: Miranda Lo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 33494 OAK GLEN RD
City: Yucaipa
State: California
ZIP Code: 92399-2057
Phone: (909) 797-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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