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Individual

CHELSEA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4664 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7442
(208) 452-5999
Mailing address
1118 NW 16TH ST, SUITE 100, FRUITLAND, ID 83619-2271
(208) 452-5999

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1012
ID

Other

Enumeration date
06/21/2013
Last updated
07/07/2020
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