Individual
MONICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1810 SUMMIT ST, SUITE 102, KANSAS CITY, MO 64108
(816) 686-7555
Mailing address
1810 SUMMIT ST, SUITE 102, KANSAS CITY, MO 64108-2109
(816) 686-7555
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20050135121
MO
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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