Individual
MELISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5990 VENTURE PARK DR, KALAMAZOO, MI 49009-1858
(269) 579-8553
Mailing address
6147 DEVON ST, PORTAGE, MI 49024-2647
(269) 579-8553
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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