Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15630 N PRESTON HWY, BRUCETON MILLS, WV 26525-7036
(304) 379-7000
Mailing address
15630 N PRESTON HWY, BRUCETON MILLS, WV 26525-7036
(304) 379-7000
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1220792731
WV
Other
Enumeration date
09/06/2023
Last updated
09/07/2023
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