Individual
DR. ANTONELLA MILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FMG
Contact information
Practice address
1141 JAN AVE, HOLLISTER, CA 95023-3466
(408) 390-8895
Mailing address
1141 JAN AVE, HOLLISTER, CA 95023-3466
(408) 390-8895
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2008
Last updated
11/29/2008
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