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Individual

CHATANI IMAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 352-9200
Mailing address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 352-9200

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/17/2011
Last updated
03/01/2021
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