Individual
JACQUELINE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7175 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2534
(888) 344-5987
Mailing address
7175 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2534
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
RBT-15-01993
MD
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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