Individual
LAURIE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
1115 NORWAY AVE, ALTOONA, PA 16602-4041
(814) 660-4216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN555735
PA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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