Individual
JESSICA LYNNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCMTB
Contact information
Practice address
11150 HURON ST, SUITE 212, NORTHGLENN, CO 80234-4379
(303) 952-9826
Mailing address
2830 CENTER RIDGE DR, BERTHOUD, CO 80513-8480
(610) 308-7738
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
605464-11
CO
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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