Individual
JARED MILLER
Active
Individual
JARED MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MPSS-QYTVPJ
CA
175T00000X
Peer Specialist
R1476710722
CA
Other
Enumeration date
08/30/2022
Last updated
05/13/2024
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