Individual
AYANNA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 PEMBROOKE CT, BAY SHORE, NY 11706-5013
(516) 851-6684
Mailing address
8 PEMBROOKE CT, BAY SHORE, NY 11706-5013
(516) 851-6684
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
22 562514
NY
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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