Individual
RANDALL MARK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
1221 SE ELLSWORTH RD, APT Q183, VANCOUVER, WA 98664-6299
(360) 448-5060
Mailing address
1221 SE ELLSWORTH RD, APT Q183, VANCOUVER, WA 98664-6299
(360) 448-5060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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