Individual
NAKKIA DANIELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
(417) 532-6606
Mailing address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
(417) 532-6606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014032194
MO
Other
Enumeration date
06/26/2017
Last updated
03/17/2018
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