Individual
BREEANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
314 EVELYN ST, SULPHUR, LA 70663-2422
(337) 442-9795
Mailing address
314 EVELYN ST, SULPHUR, LA 70663-2422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231040
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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