Individual
COLETTE DORINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15740 TURNBERRY ST, MORENO VALLEY, CA 92555-4903
(909) 728-7228
Mailing address
15740 TURNBERRY ST, MORENO VALLEY, CA 92555-4903
(909) 728-7228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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