Individual
TIFFANY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
35229 BRISTLECONE, CLINTON TWP, MI 48035-2318
(734) 787-9017
Mailing address
35229 BRISTLECONE, CLINTON TWP, MI 48035-2318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122529
MI
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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