Individual
MRS. AUDREY MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 BECKWITH AVE # 38, PATERSON, NJ 07503-2828
(973) 742-3274
(973) 742-7043
Mailing address
24 BECKWITH AVE # 38, PATERSON, NJ 07503-2828
(973) 742-3274
(973) 742-7043
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
NJ
341600000X
Ambulance
Primary
—
NJ
343900000X
Non-emergency Medical Transport (VAN)
—
NJ
Other
Enumeration date
06/23/2014
Last updated
12/27/2017
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