Individual
HEIDI MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8818 ALAM AVE, NORTH PORT, FL 34287-5411
(941) 323-7059
Mailing address
PO BOX 7774, NORTH PORT, FL 34290-0774
(941) 323-7059
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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