Individual
MRS. REBECCA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
302 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-3521
(920) 533-6040
Mailing address
302 N FOND DU LAC AVE, CAMPBELLSPORT, WI 53010-3521
(920) 533-6040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317138-31
WI
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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