Individual
CHERELLE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13706 232ND ST, LAURELTON, NY 11413-2835
(917) 574-7624
Mailing address
13706 232ND ST, LAURELTON, NY 11413-2835
(917) 574-7624
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305937
NY
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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