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Individual

CYNTHIA N. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 E. VALENCIA MESA DRIVE, FULLERTON, CA 92635
(714) 992-3760
(714) 992-3055
Mailing address
PO BOX 749421, LOS ANGELES, CA 90074-9421
(714) 992-3907
(714) 992-3055

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G61822
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G618220
CA
Enumeration date
05/24/2006
Last updated
02/06/2009
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