Mira Integrated Holdings INC
NPI #1902307713 in San Dimas, California
Provider Information
- NPI Number
- 1902307713
- Entity Type
- Organization
- Organization Name
- Mira Integrated Holdings INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Jan 21, 2022
Practice Location
- Address
- 433 W ALLEN AVE STE 112
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-4704
- Phone
- (909) 657-5557
Authorized Official
- Name
- MR. ARNOLD AQUINO
- Title
- PRESIDENT
- Phone
- (909) 657-5557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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