Individual
MIKEALEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13820 19TH AVE NE, TULALIP, WA 98271-6706
(425) 238-3643
Mailing address
16037 171ST AVE SE, MONROE, WA 98272-1634
(425) 315-3310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00147759
WA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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