Individual
RAFAEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6303 W HUGHES DR, PHOENIX, AZ 85043-7578
(602) 710-0801
Mailing address
6303 W HUGHES DR, PHOENIX, AZ 85043-7578
(602) 710-0801
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
B10065037
AZ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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