| Doctor Name: | MS. MIRIAM MONA GAFFER FERREIRA |
| NPI Number: | 1013230440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA20883 |
| Business Practice Address: | 2828 Telegraph Ave Berkeley, CA - 947051119 |
| Business Phone Number: | 5108488404 |
| Business Fax Number: | 5108486312 |
| Mailing Address: | 28094 Petrina Ct, HAYWARD |
| State: | CA |
| Postal Code: | 945454968 |
| Phone Number: | 5107835978 |
| Fax Number: | 5107835978 |
| NPI Enumeration Date: | 03/12/2010 |
| NPI Last Update Date: | 03/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA20883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |