Individual
YANETH MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12427 DIPLOMA DR, REISTERSTOWN, MD 21136-6040
(443) 834-6432
Mailing address
12427 DIPLOMA DR, REISTERSTOWN, MD 21136-6040
(443) 834-6432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05650
MD
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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