Individual
NICOLE J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 WOOD AVE, LOT #G17, COLORADO SPRINGS, CO 80907-5134
(719) 644-6456
Mailing address
3100 WOOD AVE, LOT #G17, COLORADO SPRINGS, CO 80907-5134
(719) 644-6456
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NA.00745979
CO
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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