Individual
MARIETTA CAMRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
617 ZANE AVE, BASIN, WY 82410
(307) 272-9888
Mailing address
617 ZANE AVE, BASIN, WY 82410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3362
WY
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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