Individual
AMELIA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3819
(918) 931-3700
Mailing address
395 SHORT ST, TAHLEQUAH, OK 74464-4826
(918) 316-2042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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