Individual
ELANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8760 CENTER PKWY APT 216, ELK GROVE, CA 95758-8443
(916) 500-8153
Mailing address
8760 CENTER PKWY APT 216, ELK GROVE, CA 95758-8443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
764763
CA
163WG0600X
Gerontology Registered Nurse
764763
CA
163WH1000X
Hospice Registered Nurse
764763
CA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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