Individual
JEANNE LOUISE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3500 S GILLENWATER DR, FLAGSTAFF, AZ 86001-9004
(928) 773-4002
(928) 773-4010
Mailing address
PO BOX 50491, PARKS, AZ 86018-0491
(928) 635-2285
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN066860
AZ
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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