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Individual

CANESHA MONIQUE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
682711
CA

Other

Enumeration date
11/30/2020
Last updated
08/19/2025
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