Individual
MRS. KYLEEN RAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1307 NE 78TH ST STE 3, VANCOUVER, WA 98665-9675
(360) 573-1933
(360) 571-0143
Mailing address
1307-B NE 78TH STREET SUITE #3, VANCOUVER, WA 98665
(360) 573-1933
(360) 571-0143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0018043
WA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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