Jordan L Miranda is a student in an organized health care education training program in Bergenfield, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan L Miranda NPI is 1568902013. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
51 SYLVAMDUR AVE
BERGENFIELD, NJ
ZIP 07621-015
Phone: (201) 562-6634
The enumeration date for this NPI number is 3/2/2017 and was last updated on 3/2/2017.