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Individual

ANTOINETTE CECELIA MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3005 BLADENSBURG RD NE, WASHINGTON, DC 20018-2265
(202) 808-8583
Mailing address
2566 OAK TREE LN, WOODBRIDGE, VA 22191-6010
(703) 501-3845

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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