Individual
LINDA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
12014 ROAD 42, MANCOS, CO 81328-9242
(661) 860-1964
Mailing address
12014 ROAD 42, MANCOS, CO 81328-9242
(661) 860-1964
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002566
CO
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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