Individual
JEREMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
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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