Individual
JUSTINE BROOK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, CD
Contact information
Practice address
710 S 13TH ST, GOSHEN, IN 46526-4134
(989) 326-8523
Mailing address
710 S 13TH ST, GOSHEN, IN 46526-4134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002204A
IN
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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