Individual
DESIRA CHRISTY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
315 BARRICKS RD LOT 399, LOUISVILLE, KY 40229-3037
(502) 000-0000
Mailing address
315 BARRICKS RD LOT 399, LOUISVILLE, KY 40229-3037
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1126948
KY
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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