Individual
CLARISSA ANN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1391 WASHINGTON BLVD, PITTSBURGH, PA 15206-1801
(412) 661-9222
Mailing address
1391 WASHINGTON BLVD, PITTSBURGH, PA 15206-1801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN268713
PA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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