Individual
MRS. TAMARA RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4753
(907) 714-4668
Mailing address
PO BOX 3413, SOLDOTNA, AK 99669-3413
(907) 260-9022
(907) 714-4668
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
80
AK
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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