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Individual

JEREMY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
842 MACY AVE, CHICO, CA 95926-4022
(530) 399-0467
(530) 399-0452
Mailing address
842 MACY AVE, CHICO, CA 95926-4022
(530) 354-4258

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
835027
CA
347C00000X
Private Vehicle
Primary

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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