Individual
MANDY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 QUEENS PARK DR, OWINGS MILLS, MD 21117-2250
(443) 474-3803
Mailing address
830 QUEENS PARK DR, OWINGS MILLS, MD 21117-2250
(443) 474-3803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002202
MD
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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