Individual
ROBERT ALAN MILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
81 TAYLOR ST., WEAVERVILLE, CA 96093
(530) 917-0902
Mailing address
PO BOX 2155, WEAVERVILLE, CA 96093-2155
(530) 917-0902
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
662207
CA
163WN0800X
Neuroscience Registered Nurse
Primary
662207
CA
Other
Enumeration date
07/21/2015
Last updated
12/19/2019
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