Individual
JEANIE K. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 W STATE ST, NEW CASTLE, PA 16101-1240
(724) 698-1935
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 940-8471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN316586L
PA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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