Individual
JO ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 W 9TH ST, PUEBLO, CO 81003-4103
(719) 583-4351
Mailing address
1267 WEST EL TORO WAY, PUEBLO WEST, CO 81007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1617924
CO
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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