Kathleen C Mira Valid NPI
Individual provider · Health & Wellness Coach · San Rafael, CA
- NPI
- 1104757012
- Type
- Individual (Type 1)
- Primary specialty
- Health & Wellness Coach
- Specialty group
- Other Service Providers
- Taxonomy code
- 171400000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2026-05-28
- Last updated
- 2026-05-28
Practice location
1111 Las Gallinas Ave
San Rafael, CA 94903-1843
(415) 491-6616