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Individual
MELVINA ARLEEN MILLER
Active
Individual
MELVINA ARLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
246451-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246451-1
—
NY
Enumeration date
02/16/2018
Last updated
02/16/2018
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