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Individual

JEANETTE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7700 MINNESOTA AVE, SAINT LOUIS, MO 63111-3336
(314) 327-0006
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 226-3118

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40451D
LEVEL ONE MEDICATION AIDE
MO
Enumeration date
02/20/2020
Last updated
02/20/2020
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