Miranda, Daniel Boone

Miranda, Daniel Boone is an sole proprietor health care provider with primary practice located at 1989 Vicente Dr , San Luis Obispo CA 93405-6863. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is his primary health care specialty. Miranda, Daniel Boone can be contacted via phone (805) 781-4179.

Contact Information

Primary practice address
1989 Vicente Dr San Luis Obispo CA 93405-6863
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PT 36369 California
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 36369 California

Profile Details

NPI number 1285994939
LBN Legal business name Miranda, Daniel Boone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Jan 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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