Individual
CHRISTINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1293 MARY DR, MACEDON, NY 14502-8938
(315) 986-1886
Mailing address
1293 MARY DR, MACEDON, NY 14502-8938
(315) 986-1886
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
116416
NY
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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