Individual
MS. DIANNA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9240 S MCCALL AVE, SELMA, CA 93662-9776
(559) 999-9659
Mailing address
9240 S MCCALL AVE, SELMA, CA 93662-9776
(559) 999-9659
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN200880
CA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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