Individual
BEVERLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 COUNTY ROAD 15, SOUTH POINT, OH 45680-7633
(740) 377-4045
Mailing address
1022 COUNTY ROAD 15, SOUTH POINT, OH 45680-7633
(740) 377-4045
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2239045
—
OH
Enumeration date
12/22/2020
Last updated
12/22/2020
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