Individual
JOEL DALE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3062 OLD FORGE RD, KENT, OH 44240-6726
(330) 289-2725
Mailing address
3062 OLD FORGE RD, KENT, OH 44240-6726
(330) 289-2725
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2945648
—
OH
Enumeration date
10/18/2020
Last updated
10/18/2020
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