NPI 1053880302

Jeremy Mirasol

Practitioner Technician Salinas, CA

Practice location

Address: 1123 Baldwin St Unit B, Salinas, CA 93906-3681
Phone: (916) 729-3098

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1053880302
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2018
Record last updated: 15 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.