Provider Demographics
NPI:1154577526
Name:DELAROI, MIRIAM JESSICA (RDHAP, BS)
Entity type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:JESSICA
Last Name:DELAROI
Suffix:
Gender:F
Credentials:RDHAP, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31356 HIGHLAND CT
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7683
Mailing Address - Country:US
Mailing Address - Phone:760-468-1843
Mailing Address - Fax:951-679-5928
Practice Address - Street 1:31356 HIGHLAND CT
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7683
Practice Address - Country:US
Practice Address - Phone:760-468-1843
Practice Address - Fax:951-679-5928
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA167124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist