Individual
MRS. TRACI ANN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3915 VERNA DR, LAMBERTVILLE, MI 48144-9566
(419) 283-0771
Mailing address
3915 VERNA DR, LAMBERTVILLE, MI 48144-9566
(419) 283-0771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.140234
OH
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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